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  • Title: Single coronary artery associated with perimembranous ventricular septal defect.
    Author: Favero L, La Vecchia L, Ottani F, Martini M, Vincenzi P, Fontanelli A.
    Journal: Ital Heart J; 2003 Nov; 4(11):813-5. PubMed ID: 14699713.
    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.
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