BMANA Journal of BMANA Journal of BMANA Journal of BMANA 2231-2196 0975-5241 39 Medical Association Chest Pain on Exertion: Atherosclerosis or Something Else? 22 06 2022 1 1 97 100 This article is copyright of Popeye Publishing, 2009 2009 This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.

Single coronary artery (SCA) is a rare congenital disease where a single coronary artery arises from the single coronary sinus. The majority of SCA cases are benign. This case presentation is about the management of 51-year- old gentleman with chest pain on exertion.