| An image of single coronary artery in a four-month-old child undergoing ventricular septal defect repair surgery | |
| DOI: 10.5606/e-cvsi.2016.402 | |
| Mehmet Taşar1, Zeynep Eyileten2, Adnan Uysalel2 | |
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1Department of Pediatric Cardiovascular Surgery, Dr Sami Ulus Maternity and Children Health and Diseases Training and Research Hospital, Ankara, Turkey 2Department of Pediatric Cardiovascular Surgery, Medical Faculty of Ankara University, Ankara, Turkey |
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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. Figure 1: Preoperative angiography showing a single coronary artery. Figure 2: Preoperative radiography shows cardiomegaly. 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
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