2016Folia CardiologicaOpen access

Single coronary artery from right coronary sinus presenting with acute coronary syndrome

Santosh Kumar Sinha, Vinay Krishna, Mohit Kejriwal, Puneet Aggarwal, Nishant Kumar Abhishekh

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Abstract

A single coronary artery is a rare coronary artery anomaly. A 39 year-old female underwent coronary angiography for unstable angina. This revealed a common coronary trunk arising from the right sinus of Valsalva giving rise to a right coronary artery (RCA) and a long left main trunk further dividing into a Type-I left anterior descending artery (LAD) and co-dominant left circumflex coronary artery. Distal RCA showed a discrete lesion in the posterior descending artery. Her treadmill test (TMT) was negative for reversible ischaemia. Considering her stable condition and TMT results, she was discharged on medical treatment.

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What this paper is about

A single coronary artery is a rare coronary artery anomaly. A 39 year-old female underwent coronary angiography for unstable angina. This revealed a common coronary trunk arising from the right sinus of Valsalva giving rise to a right coronary artery (RCA) and a long left main trunk further dividing into a Type-I left anterior descending artery (LAD) and co-dominant left circumflex coronary artery. Distal RCA showed a discrete lesion in the posterior descending artery. Her treadmill test (TMT) was negative for reversible ischaemia. Considering her stable condition and TMT results, she was discharged on medical treatment.

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Available abstract

A single coronary artery is a rare coronary artery anomaly. A 39 year-old female underwent coronary angiography for unstable angina. This revealed a common coronary trunk arising from the right sinus of Valsalva giving rise to a right coronary artery (RCA) and a long left main trunk further dividing into a Type-I left anterior descending artery (LAD) and co-dominant left circumflex coronary artery. Distal RCA showed a discrete lesion in the posterior descending artery. Her treadmill test (TMT) was negative for reversible ischaemia. Considering her stable condition and TMT results, she was discharged on medical treatment.

Key concepts: Cardiology, Medicine, Internal medicine, Acute coronary syndrome, Coronary sinus, Right coronary artery, Sinus (botany), Artery

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