title: Percutaneous coronary intervention in a case of anomalous single coronary artery.
abstract: Anomalous origin of the right coronary artery is an uncommon entity with a reported incidence of 0.26%. The anomalous origin is usually from the left sinus of Valsalva. Anomalous origin of the right coronary artery (RCA) from the left anterior descending (LAD) artery is a rare occurrence. Symptomatic patients with associated significant coronary artery disease (CAD) may be treated with routine interventions such as percutaneous coronary intervention or coronary artery bypass surgery. We report a case of single coronary artery with severe proximal LAD stenosis. The RCA had its origin from the mid LAD. Coronary intervention was successfully carried out on the severe stenosis at the proximal LAD artery. These cases are rare. We discuss accurate diagnosis and appropriate management in such cases.
authors.affiliation: Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India.
authors.forename: Prakash Sadashivappa
authors.initials: PS
authors.lastname: Surhonne
authors.affiliation: Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India.
authors.forename: Srikanth Reddy Mallareddy
authors.initials: SR
authors.lastname: Bogle
authors.affiliation: Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India.
authors.forename: Shivakumar
authors.initials: S
authors.lastname: Bhairappa
authors.affiliation: Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India.
authors.forename: Anshul Kumar
authors.identifier: http://orcid.org/0000-0002-8010-8227
authors.initials: AK
authors.lastname: Gupta
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D016896:Treatment Outcome