title: Single coronary artery originating from the right sinus Valsalva and ability to work.
abstract: We present a case of a 56-year-old male electrician who was admitted to the hospital with atrial fibrillation, atypical chest pain and dyspnea. He gave a history that on the morning he had working for almost 4 hours carrying out various activities with considerable physical effort. After cardioversion, conventional coronary angiography revealed a suspect of single coronary vessel (SCA) arising from the right sinus of Valsalva. The patient underwent multislice computed tomography that showed a SCA arising from the right sinus Valsalva and dividing in Right Coronary Artery (RCA) and Left Main coronary artery (LM). The finding of posterior course of the LM without atherosclerotic has proved crucial for the expression of an opinion of working capacity even with limitation.
authors.affiliation: Department of Radiology, PSI ASL Napoli 1, (Via Ciccarelli 1), Naples, (80100) Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: De Rosa
authors.affiliation: Department of Cardiology, San Giovanni Hospital, ASL Napoli 1, (Via Filippo Maria Briganti 255), Naples, (80100) Italy.
authors.forename: Gennaro
authors.initials: G
authors.lastname: Ratti
authors.affiliation: Department of Experimental Medicine, Section of Hygiene, Occupational Medicine and Forensic Medicine, Second University of Naples, (Via dei Crecchio 16), Naples, (80100) Italy.
authors.forename: Donato
authors.initials: D
authors.lastname: Gerardi
authors.affiliation: Department of Cardiology, San Gennaro Hospital, ASL Napoli 1, (Via San Gennaro dei Poveri, 25), Naples, (80100) Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Tedeschi
authors.affiliation: Department of Experimental Medicine, Section of Hygiene, Occupational Medicine and Forensic Medicine, Second University of Naples, (Via dei Crecchio 16), Naples, (80100) Italy.
authors.forename: Monica
authors.initials: M
authors.lastname: Lamberti
keywords: Multi Slices Computed Tomography; Single coronary artery; Working capacity