title: Single coronary artery associated with perimembranous ventricular septal defect.
abstract: 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.
authors.affiliation: Laboratorio di Emodinamica Cardiologia Ospedale San Bortolo Viale Rodolfi, 37 36100 Vicenza. lfaverotv@yahoo.it
authors.forename: Luca
authors.initials: L
authors.lastname: Favero
authors.forename: Luigi
authors.initials: L
authors.lastname: La Vecchia
authors.forename: Filippo
authors.initials: F
authors.lastname: Ottani
authors.forename: Manuela
authors.initials: M
authors.lastname: Martini
authors.forename: Paolo
authors.initials: P
authors.lastname: Vincenzi
authors.forename: Alessandro
authors.initials: A
authors.lastname: Fontanelli
mesh_terms: 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