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SCA is often incidentally diagnosed when patients are investigated for symptoms of suspected coronary artery disease with invasive or non-invasive coronary angiography. There are no established diagnostic electrocardiographic or echocardiographic criteria to identify the presence of SCA, which makes the diagnosis a far-reaching fruit. We present a young male patient presenting with a non-ST elevation myocardial infarction. He was found to have SCA on invasive coronary angiography, which was subsequently confirmed by CT coronary angiography.<\/jats:p>","DOI":"10.1136\/bcr-2018-228296","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T17:19:47Z","timestamp":1545153587000},"page":"e228296","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Single right coronary artery with congenital absence of left coronary system"],"prefix":"10.1136","volume":"11","author":[{"given":"Subramanya G N","family":"Upadhyaya","sequence":"first","affiliation":[{"name":"Department of Cardiology, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lal Hussain","family":"Mughal","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derek","family":"Connolly","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"Lip","sequence":"additional","affiliation":[{"name":"Department of Cardiology, City Hospital, Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,12,14]]},"reference":[{"key":"2025082711480764000_11.1.e228296.1","doi-asserted-by":"publisher","DOI":"10.1148\/130.1.39"},{"key":"2025082711480764000_11.1.e228296.2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(93)90728-J"},{"key":"2025082711480764000_11.1.e228296.3","doi-asserted-by":"crossref","first-page":"1637","DOI":"10.1093\/oxfordjournals.eurheartj.a060117","article-title":"Isolated single coronary artery: a review of 50,000 consecutive coronary angiographies","volume":"13","author":"Desmet","year":"1992","journal-title":"Eur Heart J"},{"key":"2025082711480764000_11.1.e228296.4","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(92)90019-J"},{"key":"2025082711480764000_11.1.e228296.5","doi-asserted-by":"publisher","DOI":"10.1016\/0167-5273(92)90148-V"},{"key":"2025082711480764000_11.1.e228296.6","first-page":"251","article-title":"Aberrant right ventricular branch of right coronary artery with mitral valve prolapse","volume":"9","author":"Arinc","year":"2004","journal-title":"Exp Clin Cardiol"},{"key":"2025082711480764000_11.1.e228296.7","unstructured":"National Institute for Health and Care Excellence. Chest pain of recent onset: assessment and diagnosis of recent onset chest pain or discomfort of suspected cardiac origin (update). Clinical guideline 95. London: NICE, 2016."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bcr-2018-228296","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-228296","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:48:11Z","timestamp":1756320491000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-228296"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,12,14]]},"published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1136\/bcr-2018-228296"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-228296","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,11]]}}}