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CC BY 4.0 · Aorta (Stamford) 2021; 09(05): 180-183
DOI: 10.1055/s-0041-1729852
Case Report

Patient with Acute Coronary Syndrome in the Setting of an Extremely Rare form of Complex Congenital Anomalous Coronaries

Mahmoud Abdelnabi 
1   Clinical and Experimental Internal Medicine Department, Cardiology and Angiology Unit, Medical Research Institute, Alexandria University, Alexandria, Egypt
,
Fady Gerges 
2   Department of Cardiovascular Science, Mediclinic Al Ain Hospital, Al Ain, United Arab Emirates
,
Yehia Saleh
3   Department of Cardiology, Houston Methodist Hospital, Houston, Texas, United Sates
,
Eman Elsharkawy
4   Department of Cardiology, Faculty of Medicine, Alexandria University, Alexandria, Egypt
,
Mohamed Sanhoury
4   Department of Cardiology, Faculty of Medicine, Alexandria University, Alexandria, Egypt
,
Mahmoud Hassanein
4   Department of Cardiology, Faculty of Medicine, Alexandria University, Alexandria, Egypt
,
Abdallah Almaghraby
4   Department of Cardiology, Faculty of Medicine, Alexandria University, Alexandria, Egypt
› Author Affiliations Funding None.
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Abstract

A single coronary artery is an exceedingly rare anomaly. Hereby, we present an unusual case of a young patient with an acute coronary syndrome who was found to have a single coronary artery originating from a single ostium in the right sinus of Valsalva with dual left anterior descending (LAD) arteries arising from the right coronary artery with two different anatomical courses, and additionally one of those LADs running a malignant intra-arterial course.

Keywords

anomalous single coronary artery - coronary angiography - dual left anterior descending artery - non-ST elevation acute coronary syndrome - coronary anomalies


Publication History

Received: 09 July 2020

Accepted: 21 March 2021

Article published online:
18 October 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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