Percutaneous coronary intervention for a single coronary artery arising from the right sinus of Valsalva.

We describe a 67-year-old woman who presented with acute lateral myocardial infarction. Coronary angiography demonstrated a single coronary artery along with the left anterior descending and left circumflex arteries that originated from proximal branches of the right coronary artery, which arose from a normal ostium in the right sinus of Valsalva. Percutaneous coronary intervention (PCI) was performed to treat 99% stenosis with a filling defect in the midportion of the left circumflex artery.

Unilateral renal hypoplasia associated with bicuspid aortic valve.

A 20-year-old man with congestive heart failure (CHF) and hypertension (HT) was admitted to hospital. Ultrasonic echocardiography showed that he had aortic stenosis caused by a bicuspid aortic valve. The plasma renin concentration was slightly elevated, and enhanced magnetic resonance imaging and renography revealed a hypoplastic kidney that had almost lost its normal function.