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Hypertension is the leading modifiable risk factor for global cardiovascular disease, responsible for an estimated 10.8 million deaths and more than 200 million disability-adjusted life years annually.1 Despite the availability of effective pharmacological and lifestyle interventions, prevalence continues to rise, particularly in low- and middle-income countries (LMICs), where over three-quarters of all cases now occur.2 The condition’s […]

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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