[Anomalous single coronary artery presenting as typical angina pectoris: a case report].
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.
Sahin
Durmuş Yildiray
DY
Department of Cardiology, Medicine Faculty of Cukurova University, Adana, Turkey. cardiology79@yahoo.com
Bozkurt
Abdi
A
D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000209:etiology*; D002637:Chest Pain / Q000209:etiology; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000002:abnormalities / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016312:Treatment Refusal