{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:10:38Z","timestamp":1740179438927,"version":"3.37.3"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2020,9,18]],"date-time":"2020-09-18T00:00:00Z","timestamp":1600387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>A single coronary artery ostium (SCAO) is estimated to be present in 0.066% of the general population. The proximal coronary course and the relationship with surrounding structures are related to malignant vs. benign prognoses. We present a case of SCAO with the right coronary artery (RCA) arising from the mid-left anterior descending (LAD), complicated by anterior and inferior STEMI because of acute thrombotic occlusion at the bifurcation and its percutaneous management.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 56-year-old male was admitted with sudden onset of resting chest pain. His ECG showed an anterior, inferior, and right ventricular STEMI. Via trans-radial access, coronary angiography showed significant stenoses at the left main and the circumflex but also a thrombotic occlusion at the proximal segment of the LAD while no RCA was seen. After crossing the LAD occlusion, the dominant RCA appeared from the mid-LAD. A provisional stent technique was performed achieving good results. Coronary computed tomography angiography showed an SCAO congenital anomaly with a patent stent in the bifurcation accompanied by diffuse coronary artery disease causing mild stenosis of the left main, proximal, and distal circumflex.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The RCA arising from the mid-LAD with pre-pulmonic course has been described in only 37 cases. One reported an LAD\/RCA bifurcation treatment with two stents technique in a stable scenario. The present is the first case reported of an acute thrombotic occlusion of an LAD\/RCA bifurcation clinically resulting in a left main equivalent STEMI treated successfully with primary percutaneous coronary intervention using a bifurcation technique.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa313","type":"journal-article","created":{"date-parts":[[2020,9,18]],"date-time":"2020-09-18T06:34:31Z","timestamp":1600410871000},"page":"1-5","source":"Crossref","is-referenced-by-count":1,"title":["Left main-like bifurcation primary percutaneous coronary intervention case report: anomalous right coronary artery ostium from the left anterior descending"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8353-7625","authenticated-orcid":false,"given":"Julio I","family":"Farjat Pasos","sequence":"first","affiliation":[{"name":"Interventional Cardiology Department, \"Ignacio Chavez\" National Institute of Cardiology. Juan Badiano 1. Tlalpan, Mexico City 14080, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8452-2380","authenticated-orcid":false,"given":"Jorge Padilla","family":"Ibarra","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department, \"Ignacio Chavez\" National Institute of Cardiology. Juan Badiano 1. Tlalpan, Mexico City 14080, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5014-1707","authenticated-orcid":false,"given":"Paolo","family":"Angelini","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department, Texas Heart Institute, 6770 Bertner Ave, Houston, TX 77030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0520-5465","authenticated-orcid":false,"given":"Eduardo A","family":"Arias","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department, \"Ignacio Chavez\" National Institute of Cardiology. Juan Badiano 1. 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