Abstract
Single coronary artery is a rare congenital coronary artery anomaly. It can be associated with myocardial ischemia, increased risk of sudden cardiac death or other congenital cardiac anomalies. The authors present a case of isolated single coronary artery with origin of the right coronary artery (RCA) from the left circumflex artery (LCx) with benign course, found on coronary angiography and computed tomography coronary angiography. A 79-years old female patient presenting with shortness of breath and atypical chest pain was examined. No significant stenosis was detected, and the patient was dismissed from the hospital with adjustment of her medication only. The contribution of conventional coronary angiography, and cardiac computed tomography for meticulous anatomic depiction of coronary arteries is discussed.
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