Göztepe, AslıAltay, Servet2021-11-202021-11-2020202148-47242548-0030https://dergipark.org.tr/tr/pub/tmsj/issue/52947/700196https://dergipark.org.tr/tr/download/article-file/997014https://hdl.handle.net/20.500.14551/6278Aims: Coronary artery anomalies are rare diseases among the population. These anomalies, which are usually noticed by chance, can remain silent for many years without symptoms. We aimed to present a patient with a coronary artery anomaly withouthaving any symptoms for many years. Case Report: A 73-year-old female patient presented to the Department of Cardiologyof the Trakya University School of Medicine. The patient stated that she had chest pain that decreased with rest and increasedwith exercise for the last 2 months. After the cardiac examination of the patient, imaging procedures were deemed necessary.After imaging, the patient was diagnosed with a single coronary artery anomaly. The patient was recommended to have surgery,but she refused. Upon this, the patient was discharged on condition that she was kept under frequent follow-up. Conclusion:Coronary artery anomalies have reached higher rates of diagnosis thanks to increased imaging technologies in recent years. Ifthese congenital diseases that can even cause death are noticed early, there are various treatment options. First of all, medicaltreatment is preferred, and surgery is recommended in patients with no response to the medical treatment. This disease, whichis closely related to the patient's life, should be carefully evaluated by the doctors. Keywords: Coronary arteries, cardiac anomaly,angiographyeninfo:eu-repo/semantics/openAccessCoronary arteriescardiac anomalyangiograhpyArrow Cause of Angina Pectoris: Single Coronary Artery Anomaly in Elderly PatientArticle713436700196