ISSN 1016-5169 | E-ISSN 1308-4488
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Single coronary artery anomaly: a report of three cases [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2008; 36(7): 473-475

Single coronary artery anomaly: a report of three cases

Alper Canbay, Özlem Özcan, Sinan Aydogdu, Erdem Diker
Department of Cardiology, Ankara Numune Education And Research Hospital, Ankara, Turkey

We presented three cases of anomalous single coronary artery detected incidentally during routine coronary angiography. The presenting symptoms were chest pain, angina pectoris, and exertional chest pain, respectively. In one case (male, 69 years), the single coronary artery gave off branches to the left anterior descending artery, left circumflex (LCx) artery, and right coronary artery (RCA) (type L-I). There were no atherosclerotic lesions. The patient’s chest pain was thought to have a noncardiac origin and it did not recur during a 12-month follow-up. In another case (male, 65 years), the single coronary artery originated from the right sinus of Valsalva, and gave off branches to the RCA and the left coronary system (type R-I). The patient underwent coronary artery bypass surgery for significant stenotic lesions in the LCx and RCA. He was free of angina pectoris within 12 months after surgery. In the third case (female, 48 years), a single coronary ostium gave branches to the right and left coronary systems (type R-II-B). As the course of the coronary artery was between the aorta and pulmonary artery, surgery was recommended, but the patient refused surgery.

Keywords: Angina pectoris/etiology, coronary angiography, coronary vessel anomalies; sinus of Valsalva/abnormalities

How to cite this article
Alper Canbay, Özlem Özcan, Sinan Aydogdu, Erdem Diker. Single coronary artery anomaly: a report of three cases. Turk Kardiyol Dern Ars. 2008; 36(7): 473-475

Corresponding Author: Özlem Özcan, Türkiye
Manuscript Language: English


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