Author/Authors :
Dai, Jian Departments of Cardiology - Yue Yang Hospital of Integrated Traditional Chinese and Western Medicine - Shanghai University of Traditional Chinese Medicine - Shanghai, China , Katoh, Osamu Cardiology - Kusatsu Heart Center - Shiga, Japan , Kyo, Eisho Cardiology - Kusatsu Heart Center - Shiga, Japan , Zhou, Xun Jie Departments of Cardiology - Yue Yang Hospital of Integrated Traditional Chinese and Western Medicine - Shanghai University of Traditional Chinese Medicine - Shanghai, China
Abstract :
A single coronary artery (SCA) arising from the sinus of Valsalva and supplying the entire heart is a rare congenital anomaly. According
to modified Lipton’s classification, L-1 subtype is a most rare type of SCA. We presented a case classified as L-I subtype, in which
initially left main divided into the left anterior descending and circumflex arteries normally; then, the second septal artery proceeded
as the proximal right coronary artery, the distal circumflex artery proceeded as the middle and distal right coronary artery. The patient
finally underwent percutaneous intervention in the left anterior descending artery owing to a stable angina.