Submitted: 22 Jun 2014
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J Cardiovasc Thorac Res. 2014;6(2):127-130.
doi: 10.5681/jcvtr.2014.027
PMID: 25031830
PMCID: PMC4097854
  Abstract View: 671
  PDF Download: 468

Case Report

Anomalous origin of right coronary artery from distal left circumflex artery: A case study and a review of its clinical significance

leili pourafkari 1, Mohammadreza Taban 1, Samad ghaffari 1 *

1 Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran


Single coronary arteries are rare congenital anomalies in which the whole heart circulationis supplied by a coronary artery arising from a single ostium. Single left coronary artery withright coronary artery (RCA) originating from distal left circumflex artery (LCX) is a very rareanomaly with only few cases reported in the literature. We report a 44 years old male presentingwith anterior myocardial infarction who was found to have a single left coronary artery duringangiography. RCA had an abnormal origin arising from distal of a dominant LCX that retrogradelyfollowed the course of a normal RCA to the base of the heart. A brief review of the reported caseswith emphasis on the clinical significance of this unusual anomaly is presented.
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