open access

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Case Reports
Published online: 2018-09-05
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Dual Left Anterior Descending Artery with abberrent left circumflex artery: dual abberrency- a multi-modality imaging based identification.

Santosh Kumar Sinha, Vinay Krishna, Kumar Himanshu, Puneet Aggarwal, Mahmodulla Razi
DOI: 10.5603/FC.a2018.0058

open access

Ahead of print
Case Reports
Published online: 2018-09-05

Abstract

Dual left anterior descending (LAD) artery with separate origin of the long LAD with left main coronary artery (LMCA) continuing as short LAD is very rare. A 67-year-old diabetic, and hypertensive male was admitted with history of exertional dyspnoea. He underwent coronary angiography, which showed LMCA continuing as short LAD with early termination while single trunk from right coronary sinus was giving rise to long LAD, right coronary artery, and left circumflex artery (LCx). The long LAD, running on the right side of the anterior interventricular groove, entered the groove distally while anomalous LCx which was dominant, was following a retro-aortic course. These were subsequently confirmed on Multidetector computed tomography angiography (MDCT). Therefore, dual LAD with long LAD, dominant anomalous circumflex artery, and right coronary artery sharing a single, and common origin is very rare and to the best of our knowledge, is being reported for the first time.

Abstract

Dual left anterior descending (LAD) artery with separate origin of the long LAD with left main coronary artery (LMCA) continuing as short LAD is very rare. A 67-year-old diabetic, and hypertensive male was admitted with history of exertional dyspnoea. He underwent coronary angiography, which showed LMCA continuing as short LAD with early termination while single trunk from right coronary sinus was giving rise to long LAD, right coronary artery, and left circumflex artery (LCx). The long LAD, running on the right side of the anterior interventricular groove, entered the groove distally while anomalous LCx which was dominant, was following a retro-aortic course. These were subsequently confirmed on Multidetector computed tomography angiography (MDCT). Therefore, dual LAD with long LAD, dominant anomalous circumflex artery, and right coronary artery sharing a single, and common origin is very rare and to the best of our knowledge, is being reported for the first time.

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Keywords

Dual Left Anterior Descending Artery; Multidetector Computed Tomography Angiography; Anomalous Left Circumflex Artery.

About this article
Title

Dual Left Anterior Descending Artery with abberrent left circumflex artery: dual abberrency- a multi-modality imaging based identification.

Journal

Folia Cardiologica

Issue

Ahead of print

Published online

2018-09-05

DOI

10.5603/FC.a2018.0058

Keywords

Dual Left Anterior Descending Artery
Multidetector Computed Tomography Angiography
Anomalous Left Circumflex Artery.

Authors

Santosh Kumar Sinha
Vinay Krishna
Kumar Himanshu
Puneet Aggarwal
Mahmodulla Razi

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