{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:11:18Z","timestamp":1787317878689,"version":"build-2736575974"},"reference-count":4,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005297","name":"Medical University of Bialystok","doi-asserted-by":"publisher","award":["B.SUB.25.505"],"award-info":[{"award-number":["B.SUB.25.505"]}],"id":[{"id":"10.13039\/501100005297","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Anomalies of coronary artery origins are rare but significant conditions that can range from benign to life-threatening. Early detection through imaging is crucial in preventing adverse outcomes. The treatment strategy varies depending on the type and severity of the anomaly, ranging from pharmacological treatment to surgery. A 22-year-old male patient, after syncope, after excluding other causes, had an exercise drill test, which was clinically negative and ECG-positive. Angio-CT revealed an undeveloped left main coronary artery (LMCA), and the circulation was supplied through the right coronary artery (RCA). The RCA provides the left anterior descending artery (LAD), and the LAD retrogradely supplies the left circumflex artery (LCX). The myocardial perfusion scintigraphy showed a slight lack of perfusion in the anterior wall (6% of total perfusion). The patient was qualified for further observation. A 77-year-old female underwent cardiac CT due to stenocardia. CT showed a lack of LMCA. The initial segment of the RCA gave rise to the left coronary artery (LCA), which encircled the aortic bulb posteriorly and bifurcated into branches resembling the LCX and LAD. After the Heart Team consultation, the patient was deemed eligible for conservative treatment. Angio-CT is a valuable tool for detecting coronary artery anomalies.<\/jats:p>","DOI":"10.3390\/diagnostics15151971","type":"journal-article","created":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T10:13:51Z","timestamp":1754475231000},"page":"1971","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cSingle Coronary Artery\u201d from Right Sinus\u2014Uncommon Causes of Ischemia with Non-Obstructive Coronary Arteries"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0974-7138","authenticated-orcid":false,"given":"Pawe\u0142","family":"Muszy\u0144ski","sequence":"first","affiliation":[{"name":"Department of Cardiology, Lipidology and Internal Diseases, Medical University of Bialystok, \u017burawia 14, 15-569 Bialystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlena","family":"\u015awi\u0119cicka","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Lipidology and Internal Diseases, Medical University of Bialystok, \u017burawia 14, 15-569 Bialystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominika","family":"Musia\u0142owska","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Lipidology and Internal Diseases, Medical University of Bialystok, \u017burawia 14, 15-569 Bialystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorota","family":"Pura","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Lipidology and Internal Diseases, Medical University of Bialystok, \u017burawia 14, 15-569 Bialystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2229-8026","authenticated-orcid":false,"given":"Ma\u0142gorzata","family":"Kazberuk","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Medical University of Bialystok, Kili\u0144skiego 1, 15-089 Bia\u0142ystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4481-9143","authenticated-orcid":false,"given":"Anna","family":"Ko\u017cuchowska-Eljasiewicz","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Medical University of Bialystok, Kili\u0144skiego 1, 15-089 Bia\u0142ystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Sasinowski","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Lipidology and Internal Diseases, Medical University of Bialystok, \u017burawia 14, 15-569 Bialystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urszula","family":"Bajda","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Lipidology and Internal Diseases, Medical University of Bialystok, \u017burawia 14, 15-569 Bialystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiktoria","family":"Gr\u0105dzka-Matys","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Lipidology and Internal Diseases, Medical University of Bialystok, \u017burawia 14, 15-569 Bialystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0153-0356","authenticated-orcid":false,"given":"Anna","family":"Tomaszuk-Kazberuk","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Lipidology and Internal Diseases, Medical University of Bialystok, \u017burawia 14, 15-569 Bialystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Singh, N., Gupta, Y., Singh, B., Agrawal, G.R., and Rajput, S. (2022). Diagnosis and demonstration of single coronary artery by multidetector CT angiography: Series of two cases. Egypt. J. Radiol. Nucl. Med., 53.","DOI":"10.1186\/s43055-022-00870-5"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"50","DOI":"10.5114\/amscd.2021.105824","article-title":"Single coronary artery anomaly","volume":"6","author":"Jakubik","year":"2021","journal-title":"Arch. Med. Sci.\u2014Civiliz. Dis."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Bigler, M.R., Kadner, A., R\u00e4ber, L., Ashraf, A., Windecker, S., Siepe, M., Padalino, M.A., and Gr\u00e4ni, C. (2022). Therapeutic Management of Anomalous Coronary Arteries Originating from the Opposite Sinus of Valsalva: Current Evidence, Proposed Approach, and the Unknowing. J. Am. Heart Assoc., 11.","DOI":"10.1161\/JAHA.122.027098"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1148\/130.1.39","article-title":"Isolated Single Coronary Artery: Diagnosis, Angiographic Classification, and Clinical Significance","volume":"130","author":"Lipton","year":"1979","journal-title":"Radiology"}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/15\/15\/1971\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:24:22Z","timestamp":1760034262000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/15\/15\/1971"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,6]]},"references-count":4,"journal-issue":{"issue":"15","published-online":{"date-parts":[[2025,8]]}},"alternative-id":["diagnostics15151971"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics15151971","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,6]]}}}