A Case of a Single Coronary Artery Mimicking Anterior Wall Myocardial Infarction.
- Author:
Won Yik LEE
1
;
Yong Mo YANG
Author Information
1. Division of cardiology, Department of Internal Medicine, Cheongju Saint Mary's Hospital, Cheongju, Korea. ymyang67@daum.net
- Publication Type:Case Report
- Keywords:
Coronary vessel anomalies;
Myocardial infarction;
Ventricular dysfunction
- MeSH:
Aged;
Anterior Wall Myocardial Infarction;
Arteries;
Coronary Angiography;
Coronary Sinus;
Coronary Vessel Anomalies;
Coronary Vessels;
Dyspnea;
Emergencies;
Heart Atria;
Heart Ventricles;
Humans;
Myocardial Infarction;
Necrosis;
Ventricular Dysfunction
- From:Journal of the Korean Society of Emergency Medicine
2010;21(3):393-397
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A single coronary artery is a rare coronary anomaly. A 66-year-old man arrived at our emergency department with progressive dyspnea of 4 days duration. ST segment elevation, a Q wave in precordial leads, and elevated myocardial enzymes suggested recent myocardial necrosis. Coronary angiography revealed a single coronary artery that originated from the left coronary sinus and showed normal morphology of the left coronary system without a significant stenotic lesion;a distal left circumflex artery traveled to the right ventricle and right atrium as a functional right coronary artery. We report a case of a single coronary artery from a left coronary sinus with a brief review of the literature.
