Association of single coronary artery and congenital bicuspid aortic valve with review of literature.

A 59-year-old white male presents to our hospital with shortness of breath, bilateral lower extremities swelling, an ejection systolic murmur, and S4 gallop. Echocardiography revealed a congenital bicuspid aortic valve (BAV). Subsequent coronary angiogram revealed a single coronary artery arising as a main trunk from the left coronary sinus. We report the second case of a single coronary artery and congenital BAV. (J Interven Cardiol 2005;18:389-391).