In this case report, a patient with rheumatic mitral stenosis and R-1 subtype single coronary artery arising from the ascending aorta ("high take-off" origin) and coursing between the aorta and pulmonary artery is presented. The clinical significance and differ ential diagnosis are discussed. To the authors' knowledge, this is the first case reported in the literature with a single R-1 subtype coronary artery that shows "high take-off" origin.
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References
1.
Desmet W., Vanhaecke J., Werf FW, et al: Isolated single coronary artery: A review of 50,000 consecutive coronary angiographies. Eur Heart J13:1637-1640, 1992.
2.
De la Cruz MV, Cayre R., Angelini P., et al: Coronary arteries in truncus arteriosus . Am J Cardiol66:1482-1486, 1990 .
3.
Shrivastava S., Mohan JC, Mukhopadhyay S., et al: Coronary artery anomalies in tetralogy of Fallot. Cadiovasc Intervent Radiol10:215-218, 1987.
4.
Calder AL, Co EE, Sage MD: Coronary artery abnormalities in pulmonary atresia with intact ventricular septum. Am J Cardiol59:436-442, 1987.
5.
Clicks RL, Holmes DR, Vliestra RE, et al: Anomalous coronary arteries: Location, degree of atherosclerosis and effect on survival—a report from the Coronary Artery Surgery Study . J Am Coll Cardiol13:531-537, 1989.
6.
Kafrouni G., Khan H., Wolfson JL: Single right coronary artery: Clinical and angiographic findings with surgical management. Ann Thorac Surg32:80-84, 1980.
7.
Lipton MJ, Bary WH, Obrez I., et al: Isolated single coronary artery: Diagnosis, angiographic classification and clinical significance. Radiology130:39-47, 1979.
8.
Chadow H., Kwan T., Huber M., Feit A.: Anomalous origin of the right coronary artery above the left sinus of Valsalva associated with normal aortic valve. Angiology45:963-966, 1994.
9.
Grosh PK, Friedman M., Vidne BA: Isolated congenital atresia of the left main coronary artery and atherosclerosis . Ann Thorac Surg55:1564-1565, 1993 .
10.
Benge W., Martins JB, Funk DC: Morbidity associated with anomalous origin of the right coronary artery from the left sinus of Valsalva. Am Heart J99:96-100, 1980.
11.
Bedogni F., Castellani A., Vecchia LL, et al: Atresia of left main coronary artery: Clinical recognition and surgical treatment. Cathet Cardiovasc Diagn25:35-41, 1992.
12.
Askenazi J. , Nadas AS: Anomalous left coronary artery originating from the pulmonary artery. Report on 15 cases. Circulation51:976-987, 1975.
