Annals of Internal Medicine: Clinical Cases (Apr 2022)

A Sole Left Coronary Artery

  • Mehak Kapoor,
  • Ralph G. Cipriano,
  • Beevash Ray,
  • Juan Gaztanaga,
  • Richard K. Schwartz

DOI
https://doi.org/10.7326/aimcc.2022.0049
Journal volume & issue
Vol. 1, no. 2

Abstract

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Coronary artery anomalies are defined as coronary patterns that do not fit the usual origins and branching patterns from the ascending aorta. One such CAA includes a single coronary artery: a rare (often incidental) finding of only 1 coronary artery supplying the entire heart. This anomaly poses risks to the patient, with complications such as myocardial infarction and sudden cardiac death. Our patient case was a woman with high-risk coronary artery disease (CAD) who was incidentally found to have a single coronary artery. This is an important anatomical anomaly that can alter signs, symptoms, and subsequent treatment of patients with CAD.