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Multiperforated Atrial Septal Aneurysm and a Single Coronary Artery

Department of Surgery, University of Chicago, Chicago
¹ Department of Surgery, University of Missouri-Columbia, Columbia
² The Center for Health Policy and Medical Ethics, Baylor College of Medicine, Houston, USA

For reprint information contact: Julian E Losanoff, MD, Tel: 1 312 330 5659, Fax: 1 313 576 1002, Email: jelosanoff{at}yahoo.com, Department of Surgery (11S), John D. Dingell VA Medical Center, 4646 John R, Detroit, MI 48201, USA.

Multiperforated atrial septal aneurysm (ASA) with left-to-right shunt and elevated pulmonary arterial pressure is rare. We present an adult patient with this unusual anomaly combined with a single coronary ostium emerging from the right sinus of Valsalva. The ASA was excised and the defect repaired successfully.