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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 sinus with …

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  • Contributors AB/NP planned the article. NP prepared the manuscript. NP/NS prepared the images/figures. AB revised submission to final version and acts as guarantor responsible for the overall content of the submission.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.