부산대학교 도서관

Introduction: Single coronary artery with diffuse aterosclerothic disease is an extremely rare anomaly. The therapeuthic options of these case are controversial. Case Report: We report a case of 53-year-old man with recent anterior myocardial infarction and post-infarction angina, in whom coronary angiography showed one coronary artery arising from a single ostium in the left sinus of Valsalva giving rise to all branches and severe atherosclerotic coronary disease. The patient underwent successful percutaneous transluminal coronary angioplasty and stenting of all three branches without any complication. Conclusion: Stenting, as an alternative to coronary artery bypass grafting, has become an increasingly attractive option for treatment of stenosis of anomalous coronaries because the long-term results of bypass are less than ideal. For selected cases with adequate guiding support, stenting of atherosclerotic stenosis of the anomalous coronary arteries may be preferrable to surgery.