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- Title
Single coronary artery with aortic regurgitation.
- Authors
Katsetos, Manny C.; Toce, Dale T.
- Abstract
An isolated single coronary artery can be associated with normal life expectancy; however, patients are at an increased risk of sudden death. A case is reported of a 54-year-old man with several months of chest pressure with activity. On exercise Sestamibi stress testing, the patient developed a hypotensive response with no symptoms and minimal electrocardiographic changes. Nuclear scanning demonstrated reversible septal and lateral perfusion defects consistent with severe ischemia. Coronary angiography revealed a single coronary artery with the right coronary artery arising from the left main. There were high-grade stenotic lesions in the left anterior descending and circumflex arteries with only moderate atherosclerotic disease in the right coronary artery. An aortogram showed 2-3+ aortic regurgitation, with an ejection fraction of 45% on ventriculography. The patient underwent four-vessel revascularization and aortic valve replacement and did well postoperatively.
- Subjects
CORONARY arteries; ARTERIES; HEART blood-vessels; AORTIC valve insufficiency; AORTIC valve surgery; AORTIC valve diseases
- Publication
CardioVascular & Interventional Radiology, 2003, Vol 26, Issue 6, p567
- ISSN
0174-1551
- Publication type
journal article
- DOI
10.1007/s00270-003-2736-4