Single coronary artery with the right coronary artery arising from the first septal perforator

✍ Scribed by Meyers, David G. ;McManus, Bruce M. ;McCall, David ;Walsh, Richard A. ;Quaife, Merton A.

• Publisher: John Wiley and Sons
• Year: 1984
• Tongue: English
• Weight: 786 KB
• Volume: 10
• Category: Article
• ISSN: 0098-6569
• DOI: 10.1002/ccd.1810100510

✦ Synopsis

A 50-year-old woman with chest pain and an exercise thallium-201 scintigram positive for focal ischemia was found on coronary arteriography to have a heretofore unreported variant of single left coronary artery with the r q h t coronary artery originating as a branch from the first septal perforator. Proximally, the aberrent vessel coursed through the ventricular septum at the level of the right ventricular outflow tract. A conus artery was absent and this is a possible basis for the focal basal ventricular ischemia and the patient's symptoms.