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Successful Multivessel Coronary Interventions in a Patient With Single Coronary Artery.

passed using the parallel wire technique, and a 2.5/32 mm SYNERGY stent was successfully deployed with resultant TIMI grade 3 flow (Figure H, Supplementary Movie 2). Furthermore, we observed that the RCA originated from the distal LCX. In the general population, the incidence of SCA is only 0.024–0.066%. We report a rare case of successful multivessel PCI in a patient with SCA. Coronary CTA is a useful minimally invasive diagnostic and therapeutic strategy for coronary artery anomalies, including SCA. In daily practice, SCA with an origin of the RCA from the LCX is an extremely rare finding. The main importance of SCA resides in the difficulties in diagnosis during coronary angiography. Therefore, physicians should consider the existence and anatomic types of this congenital anomaly.