[Anomalous single coronary artery presenting as typical angina pectoris: a case report]
Durmuş Yildiray Sahin1, Abdi Bozkurt
1Department of Cardiology, Medicine Faculty of Cukurova University, Adana, Turkey. cardiology79@yahoo.com
Abstract:
Single coronary artery is described as an isolated coronary artery originating from the aortic root through a single ostium in the absence of another ostium, where isolated coronary artery is the only source for blood supply to the whole heart. We present a 53-year-old woman whose coronary angiography for typical chest pain revealed an isolated single coronary artery. On coronary angiography, the whole coronary system originated by a single trunk from the right sinus of Valsalva. Multislice computed tomography showed that the left anterior descending, circumflex, and right coronary arteries arose from a single ostium in the right sinus of Valsalva without a left main trunk. Despite maximal medical therapy, her chest pain persisted. The patient did not accept surgical treatment proposed for correction of the anomaly.
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