Document Detail

Single coronary artery arising from the right sinus of Valsalva.
MedLine Citation:
PMID:  20675998     Owner:  NLM     Status:  MEDLINE    
Single coronary artery (SCA) is a rare congenital anomaly in which the entire coronary system arises from a solitary ostium. A 65-year-old male with a history of diabetes mellitus, hypertension, and hyperlipidemia was admitted with exertional angina pectoris of new onset. His physical examination, hemogram, thyroid function tests, chest X-ray, electrocardiogram, and transthoracic echocardiogram were normal. In treadmill exercise test, the patient could not reach submaximal heart rate due to fatigue. Coronary angiography revealed an SCA arising from the right sinus of Valsalva (type R-IIA). The left coronary artery (LCA) coursed anteriorly in front of the right ventricular outflow tract and gave off branches for the left anterior descending and left circumflex (LCx) arteries. A mild diffuse nonobstructive atherosclerotic lesion was also detected in the LCx. The entire SCA and the anterior course of the LCA in relation to the great vessels were further displayed by 16-row multislice computed tomography. The atherosclerotic lesion was not eligible for percutaneous intervention and the patient was scheduled for medical therapy with recommendation of risk factor modification.
Hülya Ciçekçioğlu; Ozgül Uçar; Nuri Küpelikilinç; Mehmet Ileri
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Türk Kardiyoloji Derneği arşivi : Türk Kardiyoloji Derneğinin yayın organıdır     Volume:  38     ISSN:  1016-5169     ISO Abbreviation:  Turk Kardiyol Dern Ars     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-08-02     Completed Date:  2010-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9426239     Medline TA:  Turk Kardiyol Dern Ars     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  198-201     Citation Subset:  IM    
Department of Cardiology, Ankara Numune Education and Research Hospital, Ankara, Turkey.
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MeSH Terms
Coronary Angiography
Coronary Vessel Anomalies / pathology,  radiography,  therapy*
Coronary Vessels / pathology*
Tomography, X-Ray Computed

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