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Angiology
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Anomalous Septal Perforator Artery: A Source for Supportive Circulation in Severe Coronary Artery Disease—Case Reports

On Topaz

Cardiac Catheterization Laboratories, Division of Cardiology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio

Judith A. Mackall

Cardiac Catheterization Laboratories, Division of Cardiology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio

Ravi Nair

Cardiac Catheterization Laboratories, Division of Cardiology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio

Marc D. Thames

Cardiac Catheterization Laboratories, Division of Cardiology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio

John McB. Hodgson

Cardiac Catheterization Laboratories, Division of Cardiology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio

Anomalous origin of a septal perforator artery is an infrequent angiographic finding. However, its recognition is important in patients with coronary artery disease in order to avoid misdiagnosis and consequent management mistake. In 2 patients, coronary arteriography demonstrated an anomalous septal perfora tor artery supplying significant blood flow to a myocardial region previously perfused by a severely obstructed major coronary vessel. It appears that an anomalous septal artery can serve as an important source for supportive circu lation in severe coronary artery disease.

Angiology, Vol. 43, No. 6, 501-505 (1992)
DOI: 10.1177/000331979204300608
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