Anomalous lad and cx artery arising separately from the proximal right coronary artery a case report of single coronary artery with coronary artery disease

Abstract

Coronary artery anomaly has been reported at a rate of 0.6% to 1.3% in routine angiographic se-ries. Moreover, single coronary artery is one of the rarest anomalies among coronary anomalies. Eventhoughpatients with coronary anomalies are usually asymptomatic, they may also be associated with myocardialischemia, ventricular fibrillation, syncope, congestive heart failure, and sudden death. In this article, wereport a case of single coronary artery anomaly with the left anterior descending (LAD) and left circumflex(LCx) coronary artery arising separately from the proximal right coronary artery. Since the presented casewas associated with ischemic heart disease, coronary artery bypass grafting was carried out. He is currentlywell.