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Case Reports
. 2010 Jan-Feb;30(1):81-3.
doi: 10.4103/0256-4947.59378.

Solitary coronary artery nourishing the entire heart

Bengi Yaymaci  1 , Murat Ugurlucan, Murat Basaran, Ozer Selimoglu, Ali Kocailik, Senay Akyildiz, Orhan Coskun, Melih Us
Affiliations
Case Reports

Solitary coronary artery nourishing the entire heart

Bengi Yaymaci et al. Ann Saudi Med. 2010 Jan-Feb.

Abstract

Coronary artery anomalies are being more frequently diagnosed these days both because increasing numbers of patients are undergoing diagnostic studies and because advanced radiographic imaging methods are now commonly available. An isolated single coronary artery giving rise to the main coronary branches is a rare congenital anomaly. In this report we present a patient with a solitary coronary ostium, with both the left and right coronary artery systems arising from it, and then following their usual courses. This case was diagnosed incidentally during conventional angiography.

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Figures

Figure 1
Figure 1
Coronary angiography, right anterior oblique view with a caudal projection. Note the single coronary ostium and the right coronary artery and left main coronary artery originating from the solitary vessel. LMCA: Left main coronary artery; LAD: left anterior descending coronary artery; RCA: right coronary artery; Cx: circumflex coronary artery.
Figure 2
Figure 2
Angiographic imaging of left coronary sinus showing a single coronary ostium. LMCA: Left main coronary artery; RCA: right coronary artery.
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