Vol. 49 | No. 1 | January-June 2021 Back

Open Access

One Artery to Rule it All: A Case of 30-year-old Male with Single Coronary Artery

Andre Russell F. Banluta, Jill Buensuceso, Mylene Cornel, Bernadette Semilla Lim, Renelene Macabeo,
Jun 2021 DOI 10.69944/pjc.29e0aeb79b

Abstract

Single coronary artery (SCA) is a rare congenital anomaly in which there is an isolated coronary  artery that arises from a single coronary ostium and provides coronary blood supply to the  entire myocardium. SCA is classified based on Lipton Classification which includes the origin,  branching pattern and course. We aim to present a rare case of congenital anomaly that  presented with atypical symptoms and to discuss the features and classification of a single  coronary artery. This is a case of a 30-year-old Filipino, male, known type 1 diabetes mellitus  came in with diarrhea and vomiting, which later had severe abdominal pain. A consideration  of Mesenteric ischemia was entertained due to abdominal pain not compatible with physical  exam findings. He then underwent CT angiogram of the abdomen which was unremarkable, so  a consideration of atypical presentation of chest pain was considered since patient is diabetic  hence he underwent CT coronary angiogram and was noted to have SCA as an incidental  finding.

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