Coronary artery disease in congenital single coronary artery in adults: A Dutch case series

Figure 1 Resting electrocardiograph. A: Electrocardiograph during chest pain depicting transmural ischemia in the infero-posterior leads; B: Followed by a non-sustained monomorphic ventricular tachycardia; C: Coronary angiography showed absence of the right coronary ostium and a single coronary artery arising from the left sinus of Valsalva with normal origin of the left coronary artery (LCA) having normal anatomical course of the left main stem, the left anterior descending, and the circumflex artery (Lipton L-I); D: The LCA supplies the entire myocardial tissue. No significant stenoses were found. The right coronary artery (RCA) appeared as a continuation of the distal left circumflex artery to the right atrioventricular groove and terminated near the RSV (Lipton L-I). LAD: Left anterior descending; LMCA: Left main coronary artery; RCX: Ramus circumflexus; RDP: Ramus descending posterior; OM: Obtuse marginal.