{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:40:23Z","timestamp":1756287623261,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,11,7]]},"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>This case describes a 60-year-old man with congenital atresia of the left main coronary artery (LMCA), with fistulae between the left anterior descending artery (LAD) and the right ventricle (RV). This was detected at coronary CT. To our knowledge, this is the first reported case of congenital atresia of the LMCA in conjunction with fistulae between the LAD and RV. The patient remains asymptomatic at a 2-year follow-up. No treatment has been recommended. Coronary artery anomalies are rare. Although usually asymptomatic, they can present with symptoms varying from angina to sudden death. Identification and accurate description of coronary artery anomalies are vital in assessing the risk of associated adverse events.<\/jats:p>","DOI":"10.1136\/bcr-2018-226926","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T17:19:47Z","timestamp":1545153587000},"page":"bcr-2018-226926","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Left main coronary artery atresia complicated by fistulae between the left anterior descending artery and the right ventricle"],"prefix":"10.1136","volume":"11","author":[{"given":"Karen","family":"Watura","sequence":"first","affiliation":[{"name":"Taunton and Somerset NHS Foundation Trust, Taunton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Pollentine","sequence":"additional","affiliation":[{"name":"Radiology, North Bristol NHS Trust, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,12,3]]},"reference":[{"key":"2025082702154390000_11.1.bcr-2018-226926.1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810210110"},{"key":"2025082702154390000_11.1.bcr-2018-226926.2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2004.057299"},{"issue":"9-10","key":"2025082702154390000_11.1.bcr-2018-226926.3","first-page":"261","article-title":"[Congenital coronary artery fistulas: clinical and therapeutic consideration]","volume":"136","author":"Mal\u010di\u0107","year":"2014","journal-title":"Lijec Vjesn"},{"key":"2025082702154390000_11.1.bcr-2018-226926.4","first-page":"273","article-title":"Left main coronary artery atresia","volume":"23","author":"Chou","year":"2007","journal-title":"Acta Cardiol Sin"},{"key":"2025082702154390000_11.1.bcr-2018-226926.5","doi-asserted-by":"publisher","DOI":"10.1148\/rg.297095048"},{"key":"2025082702154390000_11.1.bcr-2018-226926.6","doi-asserted-by":"crossref","first-page":"537","DOI":"10.4329\/wjr.v8.i6.537","article-title":"Coronary artery anomalies overview: The normal and the abnormal","volume":"8","author":"Villa","year":"2016","journal-title":"World J Radiol"},{"key":"2025082702154390000_11.1.bcr-2018-226926.7","doi-asserted-by":"crossref","first-page":"W244","DOI":"10.2214\/AJR.13.12026","article-title":"MDCT of congenital coronary artery fistulas","volume":"203","author":"Saboo","year":"2014","journal-title":"AJR Am J Roentgenol"},{"key":"2025082702154390000_11.1.bcr-2018-226926.8","doi-asserted-by":"crossref","first-page":"e147","DOI":"10.1016\/j.jtcvs.2012.09.015","article-title":"Congenital fistula from the left main coronary artery to the left atrium presenting with an acute myocardial infarction","volume":"144","author":"Anastacio","year":"2012","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025082702154390000_11.1.bcr-2018-226926.9","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1177\/0218492317739473","article-title":"True congenital atresia of the left main coronary ostium: delayed presentation","volume":"26","author":"Raju","year":"2018","journal-title":"Asian Cardiovasc Thorac Ann"},{"key":"2025082702154390000_11.1.bcr-2018-226926.10","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1007\/s12574-010-0040-2","article-title":"Asymptomatic fistula from a giant aneurysmatic left anterior descending artery to the right ventricular outflow tract","volume":"8","author":"Mustelier","year":"2010","journal-title":"J Echocardiogr"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bcr-2018-226926","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-226926","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:15:51Z","timestamp":1756286151000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-226926"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,12,3]]},"published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1136\/bcr-2018-226926"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-226926","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,11]]}}}