Everything in the “right” place: multifocal transient ST segment elevation in patient with single coronary artery arising from the right Valsalva sinus

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Sergio Suma http://orcid.org/0000-0002-0018-4669
Claudia Buffa
Emilia Solinas
Bruno Borrello
Nicola Gaibazzi
Tiziano Gherli
Luigi Vignali


Coronary anomaly, Coronary artery disease, Congenital heart disease, Ischemic heart disease, Cardiac surgery, Chest pain


Single coronary artery (SCA) is a rare coronary anomaly that occurs with an incidence of 0.024%. We report the case of an 83-year-old woman with a Lipton’s type 3 SCA, which is the rarest anomaly within this group, occurring only in the 0.004% of general population.  The clinical presentation of this patient was chest pain at rest with multifocal transient ST segment elevation as a marker of multifocal ischemia secondary to severe three vessels coronary artery disease (CAD). This patient was proposed for coronary artery bypass grafting (CABG) with an excellent mid-term outcome.


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