Incidental single coronary artery in an octogenarian with acute type A aortic dissection.

Interactive Cardiovascular and Thoracic Surgery
Hironobu MorimotoToshifumi Hiraoka

Abstract

Single coronary artery (SCA) in the absence of other major congenital cardiovascular anomalies is rare. We report an extremely rare case of acute aortic dissection in an octogenarian who had a single left coronary artery with the right coronary artery originating from the distal circumflex. A single ostium was incidentally detected by visual inspection during an operation. We diagnosed the anomaly in detail by postoperative 64-slice multi-detector computed tomography. As we performed an emergency operation, it was difficult to recognize SCA preoperatively. In this situation, it is very important to establish adequate myocardial protection and careful dissection is necessary to avoid iatrogenic injury.

References

Sep 1, 1990·Catheterization and Cardiovascular Diagnosis·O Yamanaka, R E Hobbs
Feb 16, 2002·The Annals of Thoracic Surgery·Stacy B O'Blenes, Christopher M Feindel
Jul 26, 2008·Circulation Journal : Official Journal of the Japanese Circulation Society·Ahmet AkcayRemzi Yilmaz

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Citations

Jun 3, 2014·Asian Cardiovascular & Thoracic Annals·Kamales Kumar SahaBharat Jagiasi

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