[Symptomatic ischemia in a patient with a single right coronary artery without lesions].
Coronary artery anomalies are not a frequent finding, and a single right coronary artery is extremely rare. This anomaly has been included among the potentially serious ones because its association with infarction and sudden death has been reported. We present the case of a female patient who complained of chest pain, showed a positive exercise treadmill test and had a single right coronary artery in the angiography with no stenotic lesions. The pathophysiology and the clinical implications are discussed.
Servicio de Cardiología, Hospital Marqués de Valdecilla, Santander.
J M
JM
de la Torre Hernández
N
N
Sánchez Mata
R
R
Gómez Izquierdo
A
A
Ochoteco Azcárate
J
J
Zueco Gil
A
A
Figueroa Olavarría
T
T
Colman
D000787:Angina Pectoris / Q000175:diagnosis / Q000209:etiology*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis; D004452:Echocardiography; D004562:Electrocardiography; D005080:Exercise Test; D005260:Female; D006801:Humans; D008875:Middle Aged