{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T11:10:59Z","timestamp":1780312259392,"version":"3.54.0"},"reference-count":10,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T00:00:00Z","timestamp":1775347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T00:00:00Z","timestamp":1775347200000},"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":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Single coronary artery (SCA) is a rare congenital disorder representing 0.024%\u22120.066% of the population. Patients with SCA presenting with acute coronary syndromes (ACS) pose diagnostic and treatment challenges. This case series demonstrates the clinical diversity and management challenges of three patients with SCA. The first patient is a 58\u2010year\u2010old gentleman who presented with non\u2010ST\u2010elevation myocardial infarction (NSTEMI) and was found to have an anomalous right coronary artery (RCA) originating from the left coronary artery, he had percutaneous coronary intervention (PCI) to a severe lesion in the left circumflex artery (LCX). The second patient is a 77\u2010year\u2010old male admitted with type 2 NSTEMI. His CT coronary angiogram (CTCA) demonstrated a Lipton Group II SCA with an inter\u2010arterial course; this patient was treated medically. The third patient is a 55\u2010year\u2010old man who was admitted with inferior ST\u2010elevation myocardial infarction (STEMI). The RCA as a possible culprit artery could not be visualized. He had primary PCI to an occluded LCX which continue to supply the RCA (Lipton Group I SCA, congenitally absent RCA). SCA can manifest with a wide range of clinical presentations. And can be very challenging; particularly in STEMI. CTCA has an essential role in providing a definitive diagnosis and anatomical classification in non\u2010urgent presentations. Treatment should be individualized according to presentation and anatomical variation.<\/jats:p>","DOI":"10.1002\/ccd.70591","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T04:21:58Z","timestamp":1775449318000},"page":"2287-2292","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Challenges of Managing Acute Coronary Syndromes in Patients With Congenital Single Coronary Artery"],"prefix":"10.1002","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6488-9229","authenticated-orcid":false,"given":"Mohamed","family":"Elghrabawy","sequence":"first","affiliation":[{"name":"Department of Cardiology Dar Elshefaa Hospital Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5321-4377","authenticated-orcid":false,"given":"Ayman","family":"Helal","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kettering General Hospital University hospitals of Northamptonshire Kettering Northamptonshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Alama","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kettering General Hospital University hospitals of Northamptonshire Kettering Northamptonshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Wassef","sequence":"additional","affiliation":[{"name":"Department of Cardiology Gloucestershire Hospitals NHS trust Gloucester Gloucestershire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohsin","family":"Farooq","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kettering General Hospital University hospitals of Northamptonshire Kettering Northamptonshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,5]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/tp-24-30"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/2940148"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.5606\/tgkdc.dergisi.2025.26874"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1148\/130.1.39"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/cric\/8125980"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjco.2020.08.002"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcct.2013.11.009"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytab314"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13133920"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.04.021"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70591","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70591","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70591","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T10:53:20Z","timestamp":1780311200000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70591"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,5]]},"references-count":10,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/ccd.70591"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70591","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,5]]},"assertion":[{"value":"2025-11-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}