title: Anomalous septal perforator artery: a source for supportive circulation in severe coronary artery disease--case reports.
abstract: 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.
authors.affiliation: Cardiac Catheterization Laboratories, University Hospitals of Cleveland, Case Western Reserve University, Ohio.
authors.forename: O
authors.initials: O
authors.lastname: Topaz
authors.forename: J A
authors.initials: JA
authors.lastname: Mackall
authors.forename: R
authors.initials: R
authors.lastname: Nair
authors.forename: M D
authors.initials: MD
authors.lastname: Thames
authors.forename: J M
authors.initials: JM
authors.lastname: Hodgson
mesh_terms: 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