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Rev Esp Cardiol. 1998 Oct;51(10):847-9.

[The single coronary artery arising from the sinus of Valsalva. A rare cause of myocardial ischemia].

[Article in Spanish]

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Servicio de Cardiología, Hospital Clínico Universitario, Valencia.


The presence of a congenital anomaly in coronary arteries can be the cause of a defective coronary flow and ischaemic symptoms. Although they are rare, we must suspect them in the presence of major cardiac events in young people. A single coronary artery is present if the entire coronary system arises from a solitary ostium. Its presence is regarded as having little clinical significance and it is usually a fortuitous finding on coronary angiography. We report the case of a patient with effort anginal symptoms, with a single coronary artery arising from the right sinus of Valsalva without obstructive atherosclerotic lesions.

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