Solitary coronary artery nourishing the entire heart

Area of Science:

• Cardiovascular Medicine
• Radiology
• Congenital Heart Disease

Background:

• Coronary artery anomalies (CAAs) are increasingly detected with advanced imaging and diagnostic studies.
• Isolated single coronary artery is a rare congenital anomaly.

Observation:

• A patient presented with a solitary coronary ostium where both left and right coronary artery systems originated.
• The coronary systems followed their typical anatomical courses after arising from the single ostium.

Findings:

• The anomaly was incidentally diagnosed during conventional coronary angiography.
• This represents a rare variation in coronary artery anatomy.

Implications:

• Increased recognition of rare coronary artery anomalies is crucial for accurate diagnosis.
• Understanding such variations aids in interpreting diagnostic imaging and managing potential cardiac conditions.