BMJ Case Reports 2018; doi:10.1136/bcr-2018-225309
  • Images in…

Single coronary artery with bicuspid aortic valve

  1. Jagadeesh K Kalavakunta3
  1. 1 Department of Internal Medicine, Western Michigan University School of Medicine, Kalamazoo, Michigan, USA
  2. 2 Department of Internal Medicine and Pediatrics, Western Michigan University Homer Stryker School of Medicine, Kalamazoo, Michigan, USA
  3. 3 Department of Cardiology, Borgess Medical Center, Kalamazoo, Michigan, USA
  1. Correspondence to Dr Dominika M Zoltowska, dominika.zoltowska{at}
  • Accepted 5 April 2018
  • Published 11 April 2018


A 45-year-old man with known history of coronary artery disease and bicuspid aortic valve (BAV) (figure 1) was admitted for worsening symptoms of angina. Coronary angiogram showed single coronary artery arising from the left cusp, trifurcating into right coronary artery, left anterior descending (LAD) and left circumflex artery (LCx) (figure 2). No course of the left main coronary artery between the aortic root and the pulmonary artery was …

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