title: An isolated single L-I type coronary artery with severe LAD lesions treated by transradial PCI.
abstract: Cases of coronary arteries with anomalous aortic origin are rare. An isolated single coronary artery is a congenital anomaly occurring in approximately 0.024-0.066% of the population. Atherosclerosis of these arteries is not infrequent with potentially severe consequences, but interventional procedures are rarely performed. We report an acute coronary syndrome case due to a subtotal paraostial left anterior descending (LAD) occlusion of a single L-I type coronary artery. Another severe stenosis was also present at mid-LAD. The patient was successfully treated with transradial percutaneous coronary intervention (PCI). Our case shows that when the anatomy is suitable, complex PCI can be performed successfully in single coronary arteries.
authors: Cardiology Department, Kat General Hospital Athens, 10 Zitsis, Marousi Att., Athens, Greece. kafkasncard@yahoo.gr
authors: Nikolaos
authors: N
authors: Kafkas
authors: Konstantinos
authors: K
authors: Triantafyllou
authors: Dimitrios
authors: D
authors: Babalis
mesh_terms: D054058:Acute Coronary Syndrome / Q000209:etiology / Q000628:therapy*; D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation / Q000379:methods*; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications* / Q000628:therapy; D003331:Coronary Vessels / Q000473:pathology*; D006801:Humans; D008297:Male