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

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

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

Section

CASE REPORTS

How to Cite

1.
Suma S, Buffa C, Solinas E, Borrello B, Gaibazzi N, Gherli T, 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 [Internet]. 2019 Sep. 6 [cited 2024 Jul. 23];90(3):336-8. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/7167