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. 2013 May 1;7(5):6–15. doi: 10.3941/jrcr.v7i5.1212

Table 1.

Lipton’s classification of single coronary artery

Code Description
Ostial Location R Right Sinus of Valsalva
L Left Sinus of Valsalva
Anatomical Distribution I The solitary dominant vessel follows the course of either a normal right or left coronary artery (RI or LI)
II One coronary artery arises from the proximal part of the normally located other coronary artery (RII or LII)
III LAD and LCX arise separately from a common trunk originating from the right sinus of Valsalva (RIII)
Course of the transverse trunk A Anterior to the great vessels
B Between the aorta and pulmonary arteries
P Posterior to the great vessels
S ‘Septal type’: a part of the route passes through the interventricular septum
C ‘Combined type’: combination of diverse routes

Reprinted from Coronary angioplasty with stenting for acute coronary syndrome in patients with an isolated single coronary artery: a report of two cases Journal of Cardiovascular Medicine: July 2009 - Volume 10 - Issue 7)