A Rare Coronary Anomaly: Single Coronary Artery; Two Cases

dc.contributor.authorAyhan, Selçuk
dc.contributor.authorKöseoğlu, Cemal
dc.contributor.authorÖncel, Can Ramazan
dc.date.accessioned2026-01-24T12:00:51Z
dc.date.available2026-01-24T12:00:51Z
dc.date.issued2025
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractWe present two cases of a rare coronary anomaly—single coronary artery—identified incidentally during routine coronary angiography. Both patients presented with symptoms of chest pain and exertional angina. In both cases, the anomaly is located in the right sinus of Valsalva (R-1-A) and crosses the heart anterior to the right ventricle. (Figure 3) The first patient experienced significant stenosis in the proximal left anterior descending artery, which was successfully treated with percutaneous stent implantation. The second patient's chest pain was managed effectively with medical therapy alone. These cases highlight that a single coronary artery, often asymptomatic, can exist as a congenital anomaly in patients experiencing myocardial ischemia due to atherosclerotic coronary artery disease. Furthermore, they demonstrate that percutaneous coronary intervention, including stent placement, offers a promising treatment approach. In the literature, coronary artery bypass surgery should particularly be considered as a treatment option for these coronary anomalies. However, it has also been shown that in selected cases, percutaneous intervention or medical therapy can be viable alternatives.
dc.identifier.doi10.30565/medalanya.1595381
dc.identifier.endpage86
dc.identifier.issn2587-0319
dc.identifier.issue1
dc.identifier.startpage82
dc.identifier.trdizinid1308032
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1308032
dc.identifier.urihttps://doi.org/10.30565/medalanya.1595381
dc.identifier.urihttps://hdl.handle.net/20.500.12868/3762
dc.identifier.volume9
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofActa Medica Alanya
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR-Dizin_20260121
dc.subjectSingle coronary artery
dc.subjectchest pain
dc.subjectcoronary angiography
dc.subjectcoronary artery anomalies
dc.titleA Rare Coronary Anomaly: Single Coronary Artery; Two Cases
dc.typeArticle

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