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Single coronary artery arising from the left sinus of valsalva
Ayfer Mavi1, Alper Sercelik, Resat Ayalp
1Department of Anatomy, Faculty of Medicine, Gaziantep University, 27310 Gaziantep, Turkey. mavi@gantep.edu.tr
Insights
A single coronary artery is a rare congenital heart anomaly. This case report details a 57-year-old woman diagnosed with an L-I subtype single coronary artery without other cardiovascular diseases.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Anatomical Variations
Background:
- Congenital anomalies of the coronary arteries are uncommon cardiovascular conditions.
- A single coronary artery is a rare anomaly where one artery supplies the entire heart.
- Understanding these variations is crucial for accurate diagnosis and management.
Observation:
- A 57-year-old woman presented with atypical chest pain.
- Coronary angiography revealed a single coronary artery, specifically the L-I subtype.
- The anomaly originated from a single ostium in the left sinus of Valsalva.
Findings:
- The patient had an L-I subtype single coronary artery.
- No other significant cardiovascular diseases were identified.
- The anomaly supplied the entire myocardium via a single vessel.
Implications:
- This case highlights the importance of recognizing rare coronary anomalies.
- Accurate subtype classification (e.g., L-I) is essential for clinical assessment.
- Further research into the clinical significance and long-term outcomes of single coronary arteries is warranted.
Abstract:
A single coronary artery is a rare congenital anomaly of the coronary arteries where only one coronary artery arises from the aortic trunk by a single coronary ostium, supplying the entire heart. We report a case of a 57-year-old woman with atypical chest pain, in whom coronary angiography showed a L-I subtype single coronary artery (arising from a single ostium in the left sinus of valsalva) without associated cardiovascular disease. The clinical significance and subtype of the single coronary artery are discussed.