title: Percutaneous Coronary Intervention of Hidden Coronary Artery-Unusual Type of Isolated Single Coronary Artery.
abstract: Single coronary artery is a rare congenital coronary artery anomaly, the incidence of which is 0.024-0.066% as described in literature. Report of cases having single coronary artery along with acute myocardial infarction are scanty and reports of percutaneous intervention in such a situation are even fewer, technically challenging and potentially cataclysmic. As single coronary artery supplies the entire myocardium, occlusion of this can result in significant ischemic insult, resulting in severe biventricular dysfunction. Percutaneous Coronary Intervention (PCI) of single coronary artery is technically challenging and carries high risk which may be equated to left main intervention. We report a rare interesting case of L1 variety of single coronary artery which presented as acute inferoposterior myocardial infarction with successful rescue PCI to Left Circumflex Artery (LCx).
authors.affiliation: Associate Professor, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research , Bangalore, Karnataka, India .
authors.forename: Shivanand
authors.initials: S
authors.lastname: Patil
authors.affiliation: Post Graduate, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research , Bangalore, Karnataka, India .
authors.forename: Jayasheelan Mambally
authors.initials: JM
authors.lastname: Rachaiah
authors.affiliation: Professor, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research , Bangalore, Karnataka, India .
authors.forename: Rangaraj
authors.initials: R
authors.lastname: Ramalingam
authors.affiliation: Professor and Head of Department, Director, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research , Bangalore, Karnataka, India .
authors.forename: Cholenahally Nanjappa
authors.initials: CN
authors.lastname: Manjunath
authors.affiliation: Assistant Professor, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research , Bangalore, Karnataka, India .
authors.forename: Kasamsetty
authors.initials: K
authors.lastname: Subramanyam
keywords: Biventricular dysfunction; Inferior wall myocardial Infarction; Left circumflex artery