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Unprotected single coronary artery main-stem angioplasty
  1. Niket Patel,
  2. Nikant Sabharwal,
  3. Adrian P Banning
  1. Department of Cardiology, Oxford University Hospitals, UK
  1. Correspondence to Dr Niket Patel, Department of Cardiology, Oxford University Hospitals, UK; niket.patel{at}

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An 84-year-old female presented with exertional angina. Coronary angiography demonstrated an anomalous coronary artery with a single ostium arising from the right coronary sinus with a calcified stenosis of the ‘common right main-stem’ (CRMS), and only mild plaque disease distally in the left coronary artery (LCA) (figure 1A). CT coronary angiography confirmed the anatomy (figure 1B), and the heart team discussion recommended intervention.

Figure 1

Preintervention imaging. (A) Coronary angiogram showing an anomalous solitary ostium of a single coronary artery from the right coronary …

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