Single coronary artery arising from the right sinus of Valsalva presenting with chest pain

Single coronary artery is a rare anomaly, with a reported incidence of 0.024%. It can be diagnosed on coronary computed tomography angiography, where the presence of ostial narrowing and compression between the great vessels must be carefully excluded, since these malignant forms can lead to sudden cardiac death and other ischemic complications. We describe a case of single coronary artery arising from the right sinus of Valsalva presenting with symptoms of ischemic chest pain.