{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:40:02Z","timestamp":1745746802053,"version":"3.40.4"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Anomalous origin of the left main coronary artery from the right sinus of valsalva \u00a0is an extremely rare condition. Right-sided single coronary trunk associated with rudimentary left coronary artery is probably the rarest. The clinical significance of single coronary artery (SCA) depends on its relationship with the great arteries. The causes of myocardial ischaemia in these arteries could be impaired vasodilator response, vascular compression between great arteries or atherosclerosis. We report a 42-year-old gentleman who presented with anterior wall myocardial infarction (MI) and thrombolysed with streptokinase. The coronary angiogram done revealed anomalous right SCA (Lipton type-RII\/Yamanaka RIIA) with recanalised left anterior descending artery (LAD). In this case the cause of MI could be atherosclerotic, as this patient responded to thrombolytic therapy and coronary angiogram revealed recanalised LAD. This case highlights the fact that these anomalous arteries are susceptible to atherosclerosis as are normally arising coronary arteries.<\/jats:p>","DOI":"10.1136\/bcr-2012-006670","type":"journal-article","created":{"date-parts":[[2013,2,12]],"date-time":"2013-02-12T07:37:58Z","timestamp":1360654678000},"page":"bcr2012006670","source":"Crossref","is-referenced-by-count":0,"title":["An interesting clinical scenario of patient with acute myocardial infarction with single coronary artery"],"prefix":"10.1136","volume":"2013","author":[{"given":"Shivakumar","family":"Bhairappa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vittal","family":"Bagi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khamitkar Shankar Rao","family":"Subramani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naviluru Madaiah","family":"Prasad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,2,11]]},"reference":[{"key":"2025042701585028000_2013.feb11_1.bcr2012006670.1","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1161\/01.CIR.53.1.122","article-title":"Clinical, angiographic,and hemodynamic findings in patients with anomalous origin of the coronary arteries","volume":"53","author":"Chaitman","year":"1976","journal-title":"Circulation"},{"key":"2025042701585028000_2013.feb11_1.bcr2012006670.2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810210110"},{"key":"2025042701585028000_2013.feb11_1.bcr2012006670.3","first-page":"214","article-title":"Anomalous aortic origin of the left coronary artery","volume":"86","author":"Benson","year":"1968","journal-title":"Arch Pathol"},{"key":"2025042701585028000_2013.feb11_1.bcr2012006670.4","first-page":"305","article-title":"Coronary artery anomalies: what we know and what we have to learn. A proposal for a new clinical classification","volume":"4","author":"Rigatelli","year":"2003","journal-title":"Ital Heart J"},{"key":"2025042701585028000_2013.feb11_1.bcr2012006670.5","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.58.4.606"},{"key":"2025042701585028000_2013.feb11_1.bcr2012006670.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-5273(00)00243-6"},{"key":"2025042701585028000_2013.feb11_1.bcr2012006670.7","first-page":"71","article-title":"Stent implantation to the stenosed right coronary artery in a patient whose right and left coronary arteries originate from a single ostium in the right sinus of Valsalva","volume":"58","author":"Altun","year":"2003","journal-title":"Cardiol Rev"},{"key":"2025042701585028000_2013.feb11_1.bcr2012006670.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2006.02.032"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-006670","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T08:58:59Z","timestamp":1745744339000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-006670"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2,11]]},"references-count":8,"alternative-id":["10.1136\/bcr-2012-006670"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-006670","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,2,11]]}}}