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KMID : 0385920100210030393
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Journal of the Korean Society of Emergency Medicine
2010 Volume.21 No. 3 p.393 ~ p.397
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A Case of a Single Coronary Artery Mimicking Anterior Wall Myocardial Infarction
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Lee Won-Yik
Yang Yong-Mo
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Abstract
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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.
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KEYWORD
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Coronary vessel anomalies, Myocardial infarction, Ventricular dysfunction
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