Cor Vasa 2019, 61(4):e439-e441 | DOI: 10.1016/j.crvasa.2018.07.007

Single coronary artery with double coronary courses: Tips and tricks

Murat Gul^a, Ozcan Ozeke^b, Anil Ozen^c, Fatih Mehmet Ucar^d, Serkan Cay^b, Dursun Aras^b

^a Department of Cardiology, Aksaray University, Aksaray, Turkey

^b Department of Cardiovascular Surgery, Health Sciences University, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey

^c Department of Cardiology, Health Sciences University, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey

^d Department of Cardiology, Trakya University, Edirne, Turkey

Congenital coronary artery anomalies are uncommon and the vast majority is diagnosed incidentally during coronary angiogram or necropsy. A single coronary artery is one of the most rarely seen coronary artery anomalies. Determination of its course (inter-arterial, intra-septal, pre-pulmonic or retro-aortic) is very important regarding its clinical significance. Avoiding the misdiagnosis of an unsuspected anomalous coronary artery is critical to the patient and it is always the angiographer's responsibility to accurately define the origin and course of the vessel. Cardiologists should be aware of simple clues in order to easily identify coronary anomalies.

Keywords: Coronary angiography, Coronary anomaly, Single coronary artery

Received: February 5, 2018; Revised: July 23, 2018; Accepted: July 24, 2018; Published: August 11, 2019  Show citation