Affiliation:
1. MD, Eskisehir City Hospital, Department Of Cardiovascular Surgery, Eskisehir, 26080, Turkey.
Abstract
Single coronary artery (SCA) anomaly is dened as the
supply of the entire myocardium from single coronary ostium
originating from a sinus of valsalva. SCA anomaly is very rare
and is usually diagnosed incidentally during coronary
angiography. It has been reported at a rate of 0.04% in
diagnostic angiography series, and it has been reported to
occur in 3% of all coronary anomalies (1). Although it is
usually asymptomatic, there are rare cases with chest pain,
arrhythmia, syncope, myocardial infarction and even sudden
cardiac death (2). We present our patient with bicuspid aortic
valve and SCA anomaly, who underwent modied bentall de
bono operation for ascending aortic aneurysm and aortic
valve regurgitation. In our patient, the left anterior descending
(LAD) and left circumex artery (LCx) arise separately from a
common trunk originating from the right sinus of valsalva. Due
to this feature, we argue that there is no other bentall case
dened in this group in the literature.