The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


Single coronary artery arising from the right aortic sinus with dual LAD supply from separate branches

EuroIntervention 2017;12:2157. DOI: 10.4244/EIJ-D-16-00614

Mayo Clinic, Rochester, MN, USA

A 55-year-old male presented with angina and reversible ischaemia on stress imaging. He had a rare combination of an anomalous single coronary artery, dual left anterior descending artery (LAD) supply from 1) a transseptal, long middle/distal LAD, and 2) a separate, pre-pulmonic, short left main equivalent supplying the proximal LAD, septal, diagonal, and left circumflex (LCX) territories. CT reconstruction (Panels A-D) demonstrated a single coronary artery from the right aortic sinus which trifurcated into the right coronary system and two additional branches supplying the left coronary system. One branch travelled along the right ventricular (RV) aspect of the septum ...

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