{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T08:34:51Z","timestamp":1761208491932,"version":"build-2065373602"},"reference-count":10,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,10,6]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>The co-existence of an ostium secundum atrial septal defect (OS-ASD) and an anomalous circumflex (LCX) artery is rare, with limited literature addressing the device closure in such cases. A middle-aged woman presented to us with dyspnoea on effort which had progressively worsened from New York Heart Association (NYHA) class I to II over 2 years and evaluation revealed a 16\u2009mm OS-ASD along with an anomalous LCX arising from the right coronary sinus with a retro-aortic course. We report this rare case of atrial septal defect (ASD) device closure in a patient with anatomical combination of ASD and an anomalous LCX, suggesting the combination is not always a contraindication for transcatheter device closure.<\/jats:p>","DOI":"10.1136\/bcr-2025-267979","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T08:30:23Z","timestamp":1761208223000},"page":"e267979","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Atrial septal defect with anomalous coronary: not always a contraindication for device closure"],"prefix":"10.1136","volume":"18","author":[{"given":"Qayoom","family":"Yousuf","sequence":"first","affiliation":[{"name":"Cardiology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aamir","family":"Rashid","sequence":"additional","affiliation":[{"name":"Cardiology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6088-7139","authenticated-orcid":false,"given":"Sameer","family":"Purra","sequence":"additional","affiliation":[{"name":"Cardiology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahnawaz","family":"Shah","sequence":"additional","affiliation":[{"name":"Acute Medicine, Weston General Hospital, Weston-super-Mare, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,10,23]]},"reference":[{"key":"2025102301301397000_18.10.e267979.1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000016175.49835.57"},{"key":"2025102301301397000_18.10.e267979.2","doi-asserted-by":"crossref","first-page":"2247","DOI":"10.1016\/j.jacc.2021.08.082","article-title":"Transcatheter Closure of Atrial and Ventricular Septal Defects","volume":"79","author":"Turner","year":"2022","journal-title":"J Am Coll Cardiol"},{"key":"2025102301301397000_18.10.e267979.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2007.01.011"},{"key":"2025102301301397000_18.10.e267979.4","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-11-1379"},{"key":"2025102301301397000_18.10.e267979.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-011-0028-3"},{"key":"2025102301301397000_18.10.e267979.6","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.112.971457"},{"key":"2025102301301397000_18.10.e267979.7","doi-asserted-by":"crossref","DOI":"10.1136\/heart.89.8.e23","article-title":"Anomalous origin of the circumflex artery and patent foramen ovale: a rare cause of myocardial ischaemia after percutaneous closure of the defect","volume":"89","author":"Casolo","year":"2003","journal-title":"Heart"},{"key":"2025102301301397000_18.10.e267979.8","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.724039"},{"key":"2025102301301397000_18.10.e267979.9","doi-asserted-by":"crossref","first-page":"E163","DOI":"10.1111\/chd.12116","article-title":"Percutaneous closure of atrial septal defects in patients with an aberrant retroaortic coronary artery: is it safe?","volume":"9","author":"Peirone","year":"2014","journal-title":"Congenit Heart Dis"},{"key":"2025102301301397000_18.10.e267979.10","doi-asserted-by":"crossref","first-page":"195","DOI":"10.4103\/apc.apc_192_21","article-title":"Evaluation of patients for potential compression of anomalous coronaries coursing behind the aortic root before device closure of secundum atrial septal defects","volume":"15","author":"Mumtaz","year":"2022","journal-title":"Ann Pediatr Cardiol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-267979","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T08:30:24Z","timestamp":1761208224000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-267979"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":10,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10,23]]},"published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1136\/bcr-2025-267979"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-267979","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]}}}