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Cardiovascular diseases are the most common cause of mortality and morbidity in adults worldwide.1 Coronary angiography (CAG) is the gold standard method for evaluating atherosclerotic coronary artery disease (CAD).2 It is conventionally performed via the trans-femoral (TF) route. Recently, however, the trans-radial (TR) route has become the preferred way.3 The TR route offers better procedure comfort, shorter hospitalization […]

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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