Single coronary artery associated with perimembranous ventricular septal defect.
The authors report the case of an adult male patient with a congenital ventricular septal defect who underwent an invasive assessment of his heart disease. Here, the septal defect was identified in the perimembranous area and a pulmonary-to-systemic flow ratio of 1.4:1 was calculated. At coronary angiography, a single coronary artery was found. This particular anomaly consisted of a proximal right coronary artery originating from a septal branch of the left anterior descending coronary artery and a distal right coronary artery arising from the distal left circumflex artery. Such an association constitutes an exceedingly rare congenital condition.
Favero
Luca
L
Laboratorio di Emodinamica Cardiologia Ospedale San Bortolo Viale Rodolfi, 37 36100 Vicenza. lfaverotv@yahoo.it
La Vecchia
Luigi
L
Ottani
Filippo
F
Martini
Manuela
M
Vincenzi
Paolo
P
Fontanelli
Alessandro
A
D002037:Bundle-Branch Block / Q000175:diagnosis; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis*; D004452:Echocardiography; D015716:Electrocardiography, Ambulatory; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis; D008297:Male; D008875:Middle Aged