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European Heart Journal 1991 12(12):1326-1329;
Copyright © 1991 by the European Society of Cardiology.
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© 1991 The European Society of Cardiology

Single coronary artery, anomalous origin of the right coronary artery from the left anterior descending artery

G. BIFFANI, E. LIOY, P. LOSCHIAVO and A. PARMA

Ospedale S. Camillo, Servizio di Emodinamica, Circonvallazione Gianicolense 87, 00152 Roma, Italy

Received 10 May 1990; revised 12 November 1990; .

Correspondence: Dr Giorgio Biffani, Ospedale S. Camillo-Servizio di Emodinamica, Circonvallazione Gianicolense 87 00152 Roma, Italy

Abstract

We present a patient with an abnormal origin of the right coronary artery from the left anterior descending artery. The patient had chest pain probably related to myocardial ischaemia. This anomaly is very rare and has previously been reported in only three cases. The abnormal vessel travelled rightwards and remained anterior to the main pulmonary artery, it was free of significant stenosis. The mechanism of anterior myocardial ischaemia remains unexplained.

Key Words: Coronary artery anomalies


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