title: A case of ST segment-elevated myocardial infarction with less common forms of single coronary artery.
abstract: A 60 year-old man presenting with chest pain was diagnosed with acute ST-elevated myocardial infarction. An emergency coronary angiography showed distal left circumflex artery (LCX) occlusion. The ostium of the right coronary artery (RCA) was not detectable. Following primary percutaneous coronary intervention in the occluded LCX, we confirmed that RCA region was fed from both LAD and LCX. Coronary computed tomography showed similar findings. This single coronary artery anomaly is extremely rare and cannot be categorized according to the established classification system.
authors.affiliation: Cardiovascular Center, Sagamihara Kyodo Hospital, Sagamihara, Japan.
authors.forename: Masashi
authors.initials: M
authors.lastname: Koga
authors.affiliation: Department of Internal Medicine, Division of Cardiology, Tokai University Hachioji Hospital, 1838 Ishikawa-cho, Hachioji, Tokyo, 192-0032, Japan. youta@f4.dion.ne.jp.
authors.forename: Yota
authors.initials: Y
authors.lastname: Kawamura
authors.affiliation: Cardiovascular Center, Sagamihara Kyodo Hospital, Sagamihara, Japan.
authors.forename: Daiki
authors.initials: D
authors.lastname: Ito
authors.affiliation: Cardiovascular Center, Sagamihara Kyodo Hospital, Sagamihara, Japan.
authors.forename: Harukazu
authors.initials: H
authors.lastname: Iseki
authors.affiliation: Department of Internal Medicine, Division of Cardiology, Tokai University School of Medicine, Isehara, Kanagawa, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Ikari
mesh_terms: D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging* / Q000601:surgery; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D000072657:ST Elevation Myocardial Infarction / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed
keywords: Primary percutaneous coronary intervention; ST segment elevated myocardial infarction; Single coronary artery