Introduction
Coronary artery anomalies are uncommon, arising in approximately 0.1-5% of the population, depending on series.1 While some variations may be associated with increased risk of ischemic events or sudden death, others may be benign findings which do not pose additional risk nor warrant treatment. Even less described is the usage of donor hearts with anomalous coronary anatomy for transplantation. In this article, we present a case of successful utilization of a donor graft with a single coronary artery for transplantation.