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European Heart Journal 1992 13(12):1637-1640;
Copyright © 1992 by the European Society of Cardiology.
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© 1992 The European Society of Cardiology

Isolated single coronary artery: a review of 50 000 consecutive coronary angiographies

W. DESMET, J. VANHAECKE, M. VROLIX, F. VAN DE WERF, J. PIESSENS, J. WILLEMS* and H. DE GEEST

Departments of Cardiology University Hospital Gasthuisberg Leuven, Belgium
*Medical Informatics, University Hospital Gasthuisberg Leuven, Belgium

Received 28 November 1992; revised 8 July 1992; .

Correspondence: Walter Desmet, Department of Cardiology, University Hospital Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium

Abstract

Single coronary artery is a rare congenital anomaly of the coronary arteries where only one coronary artery arises from the aortic trunk by a single coronary ostium, supplying the entire heart.

A database consisting of the angiographic reports of 50000 consecutive coronary angiographies performed in adult patients in the University Hospital of Leuven between March 1973 and August 1991 was searched for the diagnosis of single coronary artery. All films concerned were reviewed and classified according to their anatomical type.

Thirty-three cases of single coronary artery were retrieved, yielding an incidence of 0·066%. Patient characteristics and clinical data are described, with a discussion on the pathological importance of this finding.

Key Words: Single coronary artery • classification • coronary angiography


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