{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T05:17:20Z","timestamp":1775107040877,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Single coronary artery (SCA) is a rare congenital anomaly in which the entire myocardium is supplied by a single coronary ostium, and clinical significance depends largely on the anatomical course and presence of concomitant atherosclerotic disease. We report the case of a 58\u2010year\u2010old man presenting with exertional chest pain whose coronary computed tomography angiography revealed an SCA arising from the right coronary sinus with a critical 98% stenosis in the left main equivalent trunk supplying both the left anterior descending and circumflex territories. Although coronary artery bypass grafting was advised due to the high\u2010risk anatomy, the patient declined surgical revascularization. Elective percutaneous coronary intervention was performed using a 7\u2009F JR guiding catheter, sequential predilatation, and implantation of appropriately sized drug\u2010eluting stents, resulting in full restoration of TIMI 3 flow without complications. This case underscores the value of modern coronary CT angiography in the detailed assessment of coronary anomalies and demonstrates that, in carefully selected patients who refuse or are unsuitable for surgery, percutaneous intervention can be a safe and effective alternative even in the setting of a left\u2010main\u2010equivalent lesion within a single\u2010origin coronary system.<\/jats:p>","DOI":"10.1002\/ccd.70492","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T10:31:00Z","timestamp":1769682660000},"page":"1403-1406","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Coronary Computed Tomography Angiography Identifying a Single Coronary Artery With a Critical Left\u2010Main\u2010Equivalent Stenosis Treated by Elective PCI"],"prefix":"10.1002","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9864-4715","authenticated-orcid":false,"given":"Abd\u00fclmelik","family":"Birg\u00fcn","sequence":"first","affiliation":[{"name":"Department of Cardiology Hitit University Erol Ol\u00e7ok Education and Research Hospital Corum Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6496-7849","authenticated-orcid":false,"given":"Muhammet Cihat","family":"\u00c7elik","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hitit University Erol Ol\u00e7ok Education and Research Hospital Corum Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2444-7523","authenticated-orcid":false,"given":"Mucahit","family":"Yetim","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hitit University, Faculty of Medicine \u00c7orum Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8791-4475","authenticated-orcid":false,"given":"Macit","family":"Kal\u00e7\u0131k","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hitit University, Faculty of Medicine \u00c7orum Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2544-1975","authenticated-orcid":false,"given":"Yusuf","family":"Karavelio\u011flu","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hitit University, Faculty of Medicine \u00c7orum Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000039143"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/2940148"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43055-022-00870-5"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40119-018-0103-4"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.9801"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.121.055347"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13133920"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.3906\/sag-1602-87"},{"issue":"1","key":"e_1_2_8_10_1","first-page":"82","article-title":"A Rare Coronary Anomaly: Single Coronary Artery; Two Cases","volume":"9","author":"Ayhan S.","year":"2025","journal-title":"Acta Medica Alanya"},{"issue":"2","key":"e_1_2_8_11_1","first-page":"249","article-title":"Primary Stenting of an Anomalous Left Main Coronary Artery Originating From the Right Sinus of Valsalva During Acute Myocardial Infarction. Diclemedj","volume":"42","author":"\u00c7i\u00e7ek G.","year":"2015","journal-title":"Temmuz"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/2156-7514.170735"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.5152\/eurasianjmed.2019.18436"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.78332"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70492","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70492","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70492","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T03:48:30Z","timestamp":1775101710000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70492"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,29]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/ccd.70492"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70492","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,29]]},"assertion":[{"value":"2025-12-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}