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Zweiker, R; Luha, O; Klein, WW.
Rescue percutaneous transluminal coronary angioplasty in a patient with a single coronary artery arising from the right Sinus Valsalvae: previously unreported scenario and review of literature.
J Intern Med. 2002; 252(1):84-87 Doi: 10.1046%2Fj.1365-2796.2002.01003.x (- Case Report) [OPEN ACCESS]
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Leading authors Med Uni Graz: Zweiker Robert
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Abstract:: This is the first description of treatment with coronary stenting of a patient with a single coronary artery originating from the right Sinus Valsalvae and suffering from acute inferior myocardial infarction. Angiography showed the following: the right coronary artery (RCA) had a normal course, whilst the left anterior descending (LAD) as well as the left circumflex (LCX) branches both originated separately from the proximal RCA, which served as a common mixed trunk. The LAD crossed to the left in front of the right ventricular outflow tract, whilst the LCX, taking a retroaortic course to the atrioventricular groove, had a distal occlusion. According to an anatomically based classification considering all imaginable variations, this configuration corresponds to a II-D-1 pattern, which previously has been described only in a single postmortem case. After the LCX was reopened with a guide wire, a coronary stent was successfully inserted, resulting in TIMI-3 flow. Recovery was uneventful.
Find related publications in this database (using NLM MeSH Indexing): Angioplasty, Transluminal, Percutaneous Coronary -; Coronary Angiography -; Coronary Vessel Anomalies - diagnosis; Humans - diagnosis; Male - diagnosis; Middle Aged - diagnosis; Myocardial Infarction - therapy; Stents - therapy
Find related publications in this database (Keywords): acute myocardial infarction; percutaneous transluminal coronary angioplasty; single coronary artery