Percutaneous Intervention in a single coronary artery: evaluation of multislice tomography and its feasibility.
The presence of only a single coronary artery is a rare congenital coronary artery anomaly. In most cases, it is an incidental finding on coronary angiography and has no clinical significance. However, it can cause angina, myocardial infarction or even sudden death, particularly in young patients in whom the course of the artery runs between the aorta and pulmonary artery. In such cases, angiographic assessment may be difficult. Multislice coronary computed tomography might be better for visualizing the anatomy of the coronary artery tree in these patients. This article describes the cases of three patients with a single coronary artery and associated atherosclerotic coronary artery disease in whom a diagnosis was made using coronary angiography and multislice computed tomography.
de Agustín
José A
JA
Instituto Cardiovascular, Hospital Clínico San Carlos, Madrid, Spain. albertutor@hotmail.com
Marcos-Alberca
Pedro
P
Manzano
María del C
Mdel C
Fernández-Golfín
Covadonga
C
Pérez de Isla
Leopoldo
L
Hernández-Antolín
Rosana
R
Macaya
Carlos
C
Zamorano
José
J
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D002312:Cardiomyopathy, Hypertrophic / Q000209:etiology / Q000601:surgery; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology; D014057:Tomography, X-Ray Computed