{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:19Z","timestamp":1753876219238,"version":"3.41.2"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2021,7,31]],"date-time":"2021-07-31T00:00:00Z","timestamp":1627689600000},"content-version":"vor","delay-in-days":30,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytab283","type":"journal-article","created":{"date-parts":[[2021,7,31]],"date-time":"2021-07-31T19:20:05Z","timestamp":1627759205000},"source":"Crossref","is-referenced-by-count":0,"title":["Case report: echocardiographic detection of rare single coronary artery anomaly in a child with an atrial septal defect"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5146-3772","authenticated-orcid":false,"given":"Rachel","family":"Hazaert","sequence":"first","affiliation":[{"name":"Green Lane Paediatric and Congenital Cardiac Services, Starship Children\u2019s Hospital, Private Bag 92024, Victoria Street West, Auckland 1142, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel","family":"Wilson","sequence":"additional","affiliation":[{"name":"Green Lane Paediatric and Congenital Cardiac Services, Starship Children\u2019s Hospital, Private Bag 92024, Victoria Street West, Auckland 1142, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Rice","sequence":"additional","affiliation":[{"name":"Green Lane Paediatric and Congenital Cardiac Services, Starship Children\u2019s Hospital, Private Bag 92024, Victoria Street West, Auckland 1142, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,7,31]]},"reference":[{"key":"2021073119195630600_ytab283-B1","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1148\/130.1.39","article-title":"Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance","volume":"130","author":"Lipton","year":"1979","journal-title":"Radiology"},{"key":"2021073119195630600_ytab283-B2","doi-asserted-by":"crossref","first-page":"469","DOI":"10.5603\/FM.2014.0070","article-title":"Single coronary artery incidence in 215,140 patients undergoing coronary angiography","volume":"73","author":"Turkmen","year":"2014","journal-title":"Folia Morphol (Warsz)"},{"key":"2021073119195630600_ytab283-B3","doi-asserted-by":"crossref","first-page":"127","DOI":"10.4330\/wjc.v10.i10.127","article-title":"Overview of coronary artery variants, aberrations and anomalies","volume":"10","author":"Kastellanos","year":"2018","journal-title":"World J Cardiol"},{"key":"2021073119195630600_ytab283-B4","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1001\/jama.1974.03240020033019","article-title":"Single coronary artery. Analysis of the anatomic variation, clinical importance, and report of five cases","volume":"230","author":"Sharbaugh","year":"1974","journal-title":"J Am Med Assoc"},{"key":"2021073119195630600_ytab283-B5","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.1136\/hrt.39.12.1374","article-title":"Type and frequency of cardiac defects in embryofetal alcohol syndrome: report of 16 cases","volume":"39","author":"L\u00f6ser","year":"1977","journal-title":"Br Heart J"},{"key":"2021073119195630600_ytab283-B6","doi-asserted-by":"crossref","first-page":"e621","DOI":"10.1161\/CIRCINTERVENTIONS.112.971457","article-title":"Coronary anomaly preventing transcatheter closure of an atrial septal defect","volume":"5","author":"Williams","year":"2012","journal-title":"Circ Cardiovasc Interv"},{"key":"2021073119195630600_ytab283-B7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.echo.2019.07.001","article-title":"Guidelines for performance, interpretation, and application of stress echocardiography in ischemic heart disease: from the American Society of Echocardiography","volume":"33","author":"Pellikka","year":"2020","journal-title":"J Am Soc Echocardiogr"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/7\/ytab283\/39508862\/ytab283.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/7\/ytab283\/39508862\/ytab283.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,31]],"date-time":"2021-07-31T19:20:09Z","timestamp":1627759209000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytab283\/6333169"}},"subtitle":[],"editor":[{"given":"Alberto","family":"Bouzas-Mosquera","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Mohammad","family":"El Tahlawi","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Jan","family":"Henzel","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Brett","family":"Sydney Bernstein","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Mariame","family":"Chakir","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,7,1]]},"references-count":7,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytab283","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2021,7,1]]},"published":{"date-parts":[[2021,7,1]]},"article-number":"ytab283"}}