title: Transcatheter closure of an atrial septal defect with single coronary artery and retro-aortic right coronary artery.
abstract: Isolated single coronary artery in the presence of an atrial septal defect (ASD) is a rare congenital anomaly. There are no clear guidelines regarding the management of ASD in these patients. Transcatheter closure of the ASD in the presence of a single coronary artery that has a retro-aortic course is a matter of concern because of the possible risk of coronary impingement by the left atrial disc. Here we report the first case of an ASD device closure in a patient with a retro-aortic right coronary artery. The immediate results were good; however, long-term follow up is warranted to look for late complications.
authors.affiliation: Department of Cardiology, Kasturba Medical College, Manipal, India. mk_jaiswal17@rediffmail.com
authors.forename: Manoj K
authors.initials: MK
authors.lastname: Gupta
authors.forename: Padmakumar
authors.initials: P
authors.lastname: Ramachandran
authors.forename: Rajagopal
authors.initials: R
authors.lastname: Kadavigere
authors.forename: Biby
authors.initials: B
authors.lastname: Chacko
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods*; D003331:Coronary Vessels / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome