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. 2017 Mar;14(3):218-221.
doi: 10.11909/j.issn.1671-5411.2017.03.003.

A rare case of single right coronary artery arising from the right sinus of Valsalva with severe three-vessel disease

Saif Ibrahim  1 , Nachiket Patel  1 , Sayf Said  2 , Bashar Al-Turk DO  3 , Melissa Dakak DO  4 , Farah Al-Saffar  5
Affiliations

A rare case of single right coronary artery arising from the right sinus of Valsalva with severe three-vessel disease

Saif Ibrahim et al. J Geriatr Cardiol. 2017 Mar.
No abstract available

Keywords: Coronary artery anomalies; Coronary artery disease; Sinus of Valsalva.

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Figures

Figure 1.
Figure 1.. Cardiac catheterization images.
(A): All three coronaries arising from the right coronary cusp. There is LAD artery lesion and a severe ostial lesion in the first diagonal branch (arrow); (B): the LCx artery had three sequential, severe, mid to distal lesions (starting at the arrow head), and RCA was completely occluded proximally (arrow). LAD: left anterior descending coronary artery; LCx: left circumflex coronary artery; RCA: right coronary artery.
Figure 2.
Figure 2.. Cardiac tomography imaging results.
(A): Cardiac tomography imaging showing SCA originating from the right coronary cusp; an artery that has short, large caliber trunk that trifurcates early into the RCA, LAD, and the LCx arteries; (B): three dimentional reconstruction of cardiac tomography showing the LAD has a subpulmonic course. The LCx had a retroaortic course. Dense calcification of the mid coronary precluded accurate estimation of the disease severity. The RCA is dominant with proximal total occlusion. LAD: left anterior descending coronary artery; LCx: left circumflex coronary artery; RCA: right coronary artery; SCA: single coronary artery.
See this image and copyright information in PMC

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