title: [Anomalous single coronary artery presenting as typical angina pectoris: a case report].
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.
authors.affiliation: Department of Cardiology, Medicine Faculty of Cukurova University, Adana, Turkey. cardiology79@yahoo.com
authors.forename: Durmuş Yildiray
authors.initials: DY
authors.lastname: Sahin
authors.forename: Abdi
authors.initials: A
authors.lastname: Bozkurt
mesh_terms: 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