Everything in the “right” place:  multifocal transient ST segment elevation in patient with single coronary artery arising from the right Valsalva sinus

Sergio Suma; Claudia Buffa; Emilia Solinas; Bruno Borrello; Nicola Gaibazzi; Tiziano Gherli; Luigi Vignali

doi:10.23750/abm.v90i3.7167

Everything in the “right” place: multifocal transient ST segment elevation in patient with single coronary artery arising from the right Valsalva sinus

Authors

Sergio Suma Cardiology department, Azienda ospedaliero universitaria di Parma http://orcid.org/0000-0002-0018-4669
Claudia Buffa Cardiology department, Azienda ospedaliero universitaria di Parma
Emilia Solinas Cardiology department, Azienda ospedaliero universitaria di Parma
Bruno Borrello Cardiac surgery department, Azienda ospedaliero universitaria di Parma
Nicola Gaibazzi Cardiology department, Azienda ospedaliero universitaria di Parma
Tiziano Gherli Cardiac surgery department, Azienda ospedaliero universitaria di Parma
Luigi Vignali Cardiology department, Azienda ospedaliero universitaria di Parma

DOI: https://doi.org/10.23750/abm.v90i3.7167

Keywords:

Coronary anomaly, Coronary artery disease, Congenital heart disease, Ischemic heart disease, Cardiac surgery, Chest pain

Abstract

Single coronary artery (SCA) is a rare coronary anomaly that occurs with an incidence of 0.024%. We report the case of an 83-year-old woman with a Lipton’s type 3 SCA, which is the rarest anomaly within this group, occurring only in the 0.004% of general population. The clinical presentation of this patient was chest pain at rest with multifocal transient ST segment elevation as a marker of multifocal ischemia secondary to severe three vessels coronary artery disease (CAD). This patient was proposed for coronary artery bypass grafting (CABG) with an excellent mid-term outcome.

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Published

06-09-2019

Issue

Vol. 90 No. 3 (2019)

Section

CASE REPORTS

License

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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How to Cite

Suma S, Buffa C, Solinas E, et al. Everything in the “right” place: multifocal transient ST segment elevation in patient with single coronary artery arising from the right Valsalva sinus. Acta Biomed. 2019;90(3):336-338. doi:10.23750/abm.v90i3.7167

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