ArticleWorld journal of cardiology2014
Coronary artery disease in congenital single coronary artery in adults: A Dutch case series.
Article in World journal of cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 45 citations in OpenAlex.
- Single Coronary Artery in the Context of Vascular Disease: Anatomy, Development, Multimodality Imaging, and Clinical Interpretation.Journal of clinical medicine · 2026Review
- Transient Cardiac Dysfunction Due to New-Onset Mitral Chordal Rupture With Concomitant Congenital Absence of the Right Coronary Artery: A Case Report.The American journal of case reports · 2026Article
- The heart's hidden blueprint: a rare variant of coronary artery origin from the right coronary cusp.Journal of cardiothoracic surgery · 2026Article
- A burning mystery: one artery to rule them all?Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2026Article
- Case Report: Successful intravascular ultrasound-guided percutaneous coronary intervention of a single coronary artery with chronic total occlusion and severe calcification using rotational atherectomy.Frontiers in cardiovascular medicine · 2026Article
- Micro-coil embolization for transcatheter septal ablation in a hypertrophic obstructive cardiomyopathy patient and an unusual coronary anatomy: a case report.Frontiers in cardiovascular medicine · 2025Article
- Article
- Congenital absence of right coronary artery: a rare coronary anomaly: case report.Oxford medical case reports · 2024Article
- A Rare Anatomical Variant: Congenital Absence of the Right Coronary Artery with Left Circumflex Artery Supplying the Right Coronary Artery (RCA) Territory.The American journal of case reports · 2021Article
- Left anterior descending/right coronary artery bifurcation angioplasty in a rare case of single coronary artery: a case report.European heart journal. Case reports · 2021Article
- Case Report: Congenital Coronary Artery Ring With Single Left Coronary Ostium and Fistula: A Previously Unreported Anatomy.Frontiers in cardiovascular medicine · 2021Article
- Prevalence and Spectrum of Coronary Anomalies Detected on Coronary Computed Tomography Angiography: A single centre experience in Oman.Sultan Qaboos University medical journal · 2019Article
- Prevalence, Spectrum, and Outcomes of Single Coronary Artery Detected on Coronary Computed Tomography Angiography (CCTA).Radiology research and practice · 2019Article
- Incidental congenital coronary artery vascular fistulas in adults: Evaluation with adenosine-World journal of cardiology · 2018Article
- A rare case of single right coronary artery arising from the right sinus of Valsalva with severe three-vessel disease.Journal of geriatric cardiology : JGC · 2017Article
- Percutaneous coronary intervention in a case of anomalous single coronary artery.BMJ case reports · 2016Article
- Complex single ostium coronary artery from the right coronary sinus with unique course of anomalous left circumflex coronary artery.Journal of cardiology cases · 2016Article
- A rare case of single right coronary artery with congenital absence of left coronary artery in an adult: a case report.Journal of cardiothoracic surgery · 2015Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo assess the current diagnostic and therapeutic management and the clinical implications of congenital single coronary artery (SCA) in adults.
methodsWe identified 15 patients with a SCA detected from four Dutch angiography centers in the period between 2010 and 2013. Symptomatic patients who underwent routine diagnostic coronary angiography (CAG) for suspected coronary artery disease and who incidentally were found to have isolated SCA were analyzed.
resultsFifteen (7 females) with a mean age of 58.5 ± 13.78 years (range 43-86) had a SCA. Conventional CAG demonstrated congenital isolated SCA originating as a single ostium from the right sinus of Valsalva in 6 patients and originating from the left in 9 patients. Minimal to moderate coronary atherosclerotic changes were found in 4, and severe stenotic lesions in another 4 patients. Seven patients were free of coronary atherosclerosis. Runs of non-sustained ventricular tachycardia were documented in 2 patients, one of whom demonstrated transmural ischemic changes on presentation. Myocardial perfusion scintigraphic evidence of transmural myocardial ischemia was found in 1 patient due to kinking and squeezing of the SCA with an interarterial course between the aorta and pulmonary artery. Multi-slice computed tomography (MSCT) was helpful to delineate the course of the anomalous artery relative to the aorta and pulmonary artery. Percutaneous coronary intervention was successfully performed in 3 patients. Eight patients were managed medically. Arterial bypass graft was performed in 4 patients with the squeezed SCA.
conclusionSCA may be associated with transient transmural myocardial ischemia and aborted sudden death in the absence of coronary atherosclerosis. The availability and sophistication of MSCT facilitates the delineation of the course of a SCA. We present a Dutch case series and review of the literature.
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