Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2012 Winter;17(4):243-4.

Single coronary artery originating from the right sinus of Valsalva and hypoplastic left anterior descending artery: An extremely rare combination of congenital coronary artery anomalies

Harun Evrengul  1 , Emin Evren Ozcan, Hasan Turhan, Ali Ozturk
Affiliations
Case Reports

Single coronary artery originating from the right sinus of Valsalva and hypoplastic left anterior descending artery: An extremely rare combination of congenital coronary artery anomalies

Harun Evrengul et al. Exp Clin Cardiol. 2012 Winter.

Abstract

A 57-year-old woman with a history of hypertension, hyperlipidemia and stable angina is described. A coronary angiogram revealed the presence of a single coronary artery arising from the right sinus of Valsalva that was providing the left anterior descending (LAD), left circumflex and right coronary artery branches, with noncritical occlusive atherosclerotic plaques at the proximal circumflex artery. A small hypoplastic LAD tapering proximally was found, but no LAD and compensatory collateral circulatory vessels were observed distally. In the present report, the authors discuss this extremely rare combination of congenital coronary anomalies and their clinical implications.

Keywords: Coronary anomaly; Hypoplastic left anterior descending artery; Single coronary artery.

PubMed Disclaimer

Figures

Figure 1)
Figure 1)
Single coronary artery arising from the right sinus of Valsalva and hypoplastic left anterior descending artery. A Left anterior oblique view of aortography demonstrating no left coroner ostium. B Right anterior oblique view 20°, caudal 30°. C Left anterior oblique view 25°, cranial 35°
See this image and copyright information in PMC

References

    1. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary angiography. Cathet Cardiovasc Diagn. 1990;21:28–40. - PubMed
    1. Desmet W, Vanhaecke J, Vrolix M, et al. Isolated single coronary artery: A review of 50 000 consecutive coronary angiographies. Eur Heart J. 1992;13:1637–40. - PubMed
    1. Frescura C, Basso C, Thiene G, et al. Anomalous origin of coronary artery and risk of sudden death: A study based on an autopsy population of congential heart disease. Hum Pathol. 1998;29:689–95. - PubMed
    1. Lipton MJ, Barry WH, Obrez I, Silverman JF, Wexler L. Isolated single coronary artery: Diagnosis, angiographic classification, and clinical significance. Radiology. 1979;130:39–47. - PubMed
    1. Zugibe FT, Zugibe FT, Jr, Costello JT, Breithaupt MK. Hypoplastic coronary artery disease in the spectrum of sudden unexpected death in young and middle age adults. Am J Forensic Med Pathol. 1993;14:276–83. - PubMed

Publication types

LinkOut - more resources