A rare adult case of corrected transposition of the great vessels with situs inversus with a single coronary artery and an atrial septal defect

Abstract Background A single right coronary artery (RCA) with the left anterior descending (LAD) and circumflex coronary arteries located in the usual anatomic position and supplied by collaterals is the rarest variant of single RCA. Case summary We report a paediatric patient with an incidental finding of single RCA Lipton type RI pattern during assessment for transcatheter device closure of an ostium secundum atrial septal defect (secASD). Transthoracic echocardiography (TTE) revealed a dilated RCA, abnormal flow in the LAD, and no identifiable left main coronary artery. Diagnosis of a single RCA was confirmed with angiography. Dobutamine stress echocardiography revealed no inducible ischaemia. Transcatheter device closure of the secASD was subsequently successfully performed. Discussion TTE in paediatric patients can raise suspicion of coronary artery origin anomalies. Additional modalities, such as computed tomography and angiography, are required to comprehensively determine coronary artery anatomy. Functional assessment of ventricular function is also indicated. Coronary artery anatomy is important to delineate prior to transcatheter device closure of a secASD and should be part of the pre-procedure assessment.

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Corrected transposition of the great vessels associated with true mitral insufficiency and atrial septal defect Case report of successful complete correction

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/s0022-5223(19)33212-x ◽

1965 ◽

Vol 50 (2) ◽

pp. 233-242 ◽

Cited By ~ 1

Author(s):

Sariel G.G. Ablaza ◽

Gumersindo Blanco ◽

Vladir Maranhao ◽

Harry Goldberg

Keyword(s):

Case Report ◽

Atrial Septal Defect ◽

Septal Defect ◽

Mitral Insufficiency ◽

Great Vessels ◽

Corrected Transposition

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A Surgically Treated Case of Both Wolff-Parkinson-White Syndrome and Atrial Septal Defect Complicating Single Coronary Artery and Partial Pericardial Defect.

Japanese Heart Journal ◽

10.1536/ihj.36.675 ◽

1995 ◽

Vol 36 (5) ◽

pp. 675-680

Author(s):

Yasuyuki SASAKI ◽

Akiko FURIHATA ◽

Kazuhiro SUYAMA

Keyword(s):

Coronary Artery ◽

Atrial Septal Defect ◽

Septal Defect ◽

Single Coronary Artery ◽

Pericardial Defect ◽

White Syndrome ◽

Wolff Parkinson White Syndrome

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Corrected Transposition of the Great Arteries, Dextrocardia, Situs Inversus and Atrial Septal Defect in a 75-Year-Old Man

Journal of Cardiac Failure ◽

10.1016/j.cardfail.2010.07.173 ◽

2010 ◽

Vol 16 (9) ◽

pp. S164

Author(s):

Tomoyo Sugiyama ◽

Shigeki Kimura ◽

Masahiro Sekigawa ◽

Jun Narumi ◽

Ryoko Azuma ◽

...

Keyword(s):

Atrial Septal Defect ◽

Situs Inversus ◽

Septal Defect ◽

Corrected Transposition

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Tricuspid Valve Repair in Corrected Transposition with Situs Inversus

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849239700500214 ◽

1997 ◽

Vol 5 (2) ◽

pp. 118-119

Author(s):

Yüksel Atay ◽

Fatih İslamoğlu ◽

İlker Alat ◽

E Alp Alayunt

Keyword(s):

Atrial Septal Defect ◽

Tricuspid Valve ◽

Situs Inversus ◽

Septal Defect ◽

Patch Repair ◽

Tricuspid Valve Repair ◽

Ring Annuloplasty ◽

Valve Insufficiency ◽

Pericardial Patch Repair ◽

Corrected Transposition

A 31-year-old female presented with tricuspid valve insufficiency, atrial septal defect, pulmonary valve stenosis, and corrected transposition of the great arteries with situs inversus. She underwent successful ring annuloplasty of the tricuspid valve, pericardial patch repair of the atrial septal defect, pulmonary commissurotomy, and correction of poststenotic pulmonary artery dilatation.

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