open access

Ahead of print
Case Reports
Published online: 2019-03-27
Get Citation

Single coronary artery from right coronary sinus presenting with acute coronary syndrome

Santosh Kumar Sinha, Vinay Krishna, Mohit Kejriwal, Puneet Aggarwal, Nishant Kumar Abhishekh
DOI: 10.5603/FC.a2019.0028

open access

Ahead of print
Case Reports
Published online: 2019-03-27

Abstract

A single coronary artery is a rare coronary artery anomaly. A 39 year-old female underwent coronary angiography for unstable angina. This revealed a common coronary trunk arising from the right sinus of Valsalva giving rise to a right coronary artery (RCA) and a long left main trunk further dividing into a Type-I left anterior descending artery (LAD) and co-dominant left circumflex coronary artery. Distal RCA showed a discrete lesion in the posterior descending artery. Her treadmill test (TMT) was negative for reversible ischaemia. Considering her stable condition and TMT results, she was discharged on medical treatment.

Abstract

A single coronary artery is a rare coronary artery anomaly. A 39 year-old female underwent coronary angiography for unstable angina. This revealed a common coronary trunk arising from the right sinus of Valsalva giving rise to a right coronary artery (RCA) and a long left main trunk further dividing into a Type-I left anterior descending artery (LAD) and co-dominant left circumflex coronary artery. Distal RCA showed a discrete lesion in the posterior descending artery. Her treadmill test (TMT) was negative for reversible ischaemia. Considering her stable condition and TMT results, she was discharged on medical treatment.

Get Citation

Keywords

coronary artery anomaly; unstable angina; single coronary artery; Type-I left anterior descending artery

About this article
Title

Single coronary artery from right coronary sinus presenting with acute coronary syndrome

Journal

Folia Cardiologica

Issue

Ahead of print

Published online

2019-03-27

DOI

10.5603/FC.a2019.0028

Keywords

coronary artery anomaly
unstable angina
single coronary artery
Type-I left anterior descending artery

Authors

Santosh Kumar Sinha
Vinay Krishna
Mohit Kejriwal
Puneet Aggarwal
Nishant Kumar Abhishekh

References (5)
  1. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn. 1990; 21(1): 28–40.
  2. Shirani J, Roberts WC. Solitary coronary ostium in the aorta in the absence of other major congenital cardiovascular anomalies. J Am Coll Cardiol. 1993; 21(1): 137–143.
  3. Subban V, Victor SM, Ajit MS, et al. Single coronary artery from the right coronary sinus with proximal origin of the left anterior descending coronary artery and left circumflex as distal continuation of the right coronary artery: a rare variant. Cardiovasc J Afr. 2012; 23(8): e13–e14.
  4. Lipton MJ, Barry WH, Obrez I, et al. Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance. Radiology. 1979; 130(1): 39–47.
  5. Angelini P, Velasco JA, Flamm S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation. 2002; 105(20): 2449–2454.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

 

Wydawcą serwisu jest  "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl