Korean Circ J.  2002 Apr;32(4):363-366. 10.4070/kcj.2002.32.4.363.

A Case of Single Coronary Artery Originating from Ascending Aorta Above the Left Coronary Sinus

Affiliations
  • 1Division of Cardiology, Department of Medicine, Sungkyunkwan University, School of Medicine, Masan Samsung Hospital, Masan, Korea.
  • 2Division of Cardiology, Department of Internal Medicine, College of Medicine, In-Je University, Ilsan, Korea. Leenjw@unitel.co.kr

Abstract

We report a case with an isolated single coronary artery originating from the ascending aorta, which to our knowledge has never been described before. A 51-year-old man presented for evaluation of atypical chest pain, suffering from a short resting chest pain for 3 days. However, serial electrocardiogram showed no change during chest pain. Cardiac enzymes such as CK-MB, Troponin-I, and myoglobin were within normal limit. Aortography and coronary angiography revealed a single coronary artery originating from the postero-lateral wall of the ascending aorta above the left coronary siuns. However, this anomaly was not of clinical significance based on the atypical nature of the chest pain, negative exercise echocardiography and an absence of obstruction of the coronary artery.

Keyword

Coronary vessel anomalies; Aorta

MeSH Terms

Aorta*
Aortography
Chest Pain
Coronary Angiography
Coronary Sinus*
Coronary Vessel Anomalies
Coronary Vessels*
Echocardiography
Electrocardiography
Humans
Middle Aged
Myoglobin
Troponin I
Myoglobin
Troponin I
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