Introduction
Single coronary artery is an extremely rare congenital anomaly in which there is only one coronary artery arising from the aorta by a single ostium, giving branches. Since these anomalies are usually asymptomatic, interventions are limited.[1,2]
A four-month-old child underwent surgery for an 8 mm isolated perimembranous ventricular septal defect.
He also had coronary artery origin anomaly detected by catheterization preoperatively (Figure 1). Preoperative evaluation showed no other pathology (Figure 2). All coronary branches were given by the single coronary artery without any kinking or compression (Figure 3).
A written informed consent was obtained from the patient and ventricular septal defect was repaired. The operation was completed successfully.
LAD: Left anterior descending; RCA: Right coronary artery; CX: Circumflex; AO: Aorta; MPA: Main pulmonary artery; SVC: Superior vena cava.
A single coronary artery is a rare coronary artery origin anomaly which can be often associated with other congenital cardiac defects, such as ventricular septal defect. This anomaly is usually in benign nature and seldomly requires surgical intervention.
Declaration of conflicting interests
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
