Anomalous septal perforator artery: a source for supportive circulation in severe coronary artery disease--case reports.
Anomalous origin of a septal perforator artery is an infrequent angiographic finding. However, its recognition is important in patients with coronary artery disease in order to avoid misdiagnosis and consequent management mistake. In 2 patients, coronary arteriography demonstrated an anomalous septal perforator artery supplying significant blood flow to a myocardial region previously perfused by a severely obstructed major coronary vessel. It appears that an anomalous septal artery can serve as an important source for supportive circulation in severe coronary artery disease.
Topaz
O
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Cardiac Catheterization Laboratories, University Hospitals of Cleveland, Case Western Reserve University, Ohio.
Mackall
J A
JA
Nair
R
R
Thames
M D
MD
Hodgson
J M
JM
D000368:Aged; D003097:Collateral Circulation; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications / Q000000981:diagnostic imaging* / Q000503:physiopathology; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging*; D003951:Diagnostic Errors; D006801:Humans; D008297:Male; D008875:Middle Aged