Single Coronary Artery as a Rare Developmental Variant in Cardiac Computed Tomography Angiography

Cardiac computed tomography angiography (CCTA) is a non-invasive method for the diagnosis of coronary artery disease. In addition to the assessment of possible stenoses in the coronary arteries, this method also allows the assessment of other abnormalities of coronary and extracoronary heart structures. CCTA is the optimal method for assessing the relationship of coronary arteries to other anatomical structures; thus, it is used as a method of diagnosing developmental variants of coronary circulation. We present images of a single left coronary artery in a 384-slice CCTA in a 69-year-old Caucasian female patient with non-specific chest pain and low intermediate cardiovascular risk as an example of a rare developmental coronary variant. In conclusion, the importance of CCTA as a method of diagnosing developmental variations of the heart and vessels should be emphasized.