Isolated Single Coronary Artery A Series of 10 Cases

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  • Akcay Ahmet
    Cardiology Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University
  • Tuncer Cemal
    Cardiology Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University
  • Batyraliev Talantbek
    Cardiology Department, Sani Konukoglu Medical Center
  • Gokce Mustafa
    Cardiology Department, Faculty of Medicine, Technical University of Black Sea
  • Eryonucu Beyhan
    Cardiology Department, Faculty of Medicine,University of 100th years
  • Koroglu Sedat
    Cardiology Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University
  • Yilmaz Remzi
    Cardiology Department, Faculty of Medicine, University of Harran

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  • A Series of 10 Cases

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Background Isolated single coronary artery (SCA) is an extremely rare congenital coronary anomaly. Some subgroups of SCA can lead to angina pectoris, acute myocardial infarction or even sudden death in the absence of atherosclerosis. Young patients, especially, have the risk of serious clinical events, but middle-aged-to elderly patients have a variable clinical course. Methods and Results The aim of this study was to present the clinical and angiographic properties, relatively long-term follow-up (54±14 months) and management of adult patients (mean age 57±12 years) with SCA. The records of 70,850 patients undergoing coronary angiography between 1999 and 2005 were reviewed. Ten patients (0.024%) were found to have SCA, originating from the left sinus of Valsalva in 3 (30%) patients and from the right sinus of Valsalva in 7 patients (70%). No atherosclerotic involvement was seen in 7 (70%) patients. One patient was also treated by stent implantation to the SCA. Other patients were followed medically. All patients have been followed uneventfully. Conclusion Medical treatment is usually adequate for middle-aged to elderly patients with SCA in the absence of ischemia and/or acute coronary syndrome. (Circ J 2008; 72: 1254 - 1258)<br>

Journal

  • Circulation Journal

    Circulation Journal 72 (8), 1254-1258, 2008

    The Japanese Circulation Society

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