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Native valve infective endocarditis (IE) is rare, with an incidence of 3–7 cases per 100,000 person-years.1,2 Cardiac structural complications from local infection extension include valvular destruction, peri-annular abscess and fistula formation. Left ventricular pseudoaneurysm (LVP) from IE is exceedingly rare, occurring in <1% of cases, and is associated with high morbidity and mortality. Diagnosis is challenging due to nonspecific symptoms and potentially […]

Single coronary artery from the right sinus of Valsalva

Elio Venturini, Lucia Magni
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Published Online: Aug 3rd 2018 Heart International 2011;6(1):e5 DOI: https://doi.org/10.4081/hi.2011.e5
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Abstract

Overview

We describe a case of a single coronary
artery originating from the right coronary
sinus and bifurcating into the left coronary
artery (LCA) and right coronary artery (RCA)
in a 74-year old woman, with a non-ST elevation
acute myocardial infarction (NSTEMI).
Diagnosis was made by coronary angiography
which ruled out stenosis, and showed normal
LCA and RCA branching. The connection path
of LCA, with the opposite cusp, was defined
retroaortic by multislice computed tomography
(CT). The variants of this coronary anomaly,
together with their clinical implications
and pathophysiology of acute myocardial
infarction (AMI) are discussed. Multislice CT
is fundamental for clinical decision making.

Keywords

Coronary artery anomalies, single coronary artery, multislice computed tomography; right sinus of Valsalva.

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Article Information

Correspondence

Elio Venturini, via Brodolini 27/C, 57023 Cecina (Li), Italy. Tel: +39.0586.614210. E-mail: vent.elio@tin.it

Received

2011-05-11T00:00:00

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