an anomalous origin of left anterior descending coronary artery from right coronary artery in a patient with acute coronary syndrome

نویسندگان

jalal kheirkhah heshmat heart hospital, guilan university of medical sciences, rasht, iran.

parham sadeghipour heshmat heart hospital, guilan university of medical sciences, rasht, iran.

ali kouchaki heshmat heart hospital, guilan university of medical sciences, rasht, iran.

چکیده

a double left anterior descending (lad) coronary artery emerging from the left and right coronary arteries is classified among rare coronary anomalies. we herein report a 73-year-old man presenting with acute coronary syndrome (posterolateral myocardial infarction). he was admitted with typical chest pain, and due to his progressive ischemic changes on electrocardiography (ecg) and elevated cardiac enzyme, he was candidated for cardiac catheterization. the coronary angiography revealed an anomalous lad from the right sinus of valsalva. the unusual coronary anatomy was perfectly matched with the distribution of ischemia and its clinical evidence on echocardiography and ecg. the culprit lesion was stented, and the patient was discharged in good physical condition from the hospital.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

An Anomalous Origin of Left Anterior Descending Coronary Artery from Right Coronary Artery in a Patient with Acute Coronary Syndrome

A double left anterior descending (LAD) coronary artery emerging from the left and right coronary arteries is classified among rare coronary anomalies. We herein report a 73-year-old man presenting with acute coronary syndrome (posterolateral myocardial infarction). He was admitted with typical chest pain, and due to his progressive ischemic changes on electrocardiography (ECG) and elevated car...

متن کامل

CongenItal Anomallous Origin of Left Anterior Descending Artery from RIight Coronary Artery

​Congenital anomalies of the coronary arteries have been a known subject  since the advent of cardiac angiography, and has been a subject of special interest by both cardiologists and cardiac surgeons,  We have tried in this article to present a case of anomalous origin of LAD from RCA (RMT) in a 55 year old lady (Mrs. B.J.) and to completely dis­cuss this subject. It's worthmentioning that thi...

متن کامل

Single coronary artery, anomalous origin of the right coronary artery from the left anterior descending artery.

We present a patient with an abnormal origin of the right coronary artery from the left anterior descending artery. The patient had chest pain probably related to myocardial ischaemia. This anomaly is very rare and has previously been reported in only three cases. The abnormal vessel travelled rightwards and remained anterior to the main pulmonary artery, it was free of significant stenosis. Th...

متن کامل

anomalous origin of the right coronary artery from the midportion of the left anterior descending artery: a rare coronary anomaly

the anomalous origin of the right coronary artery (rca) as a branch from the left anterior descending artery (lad) is a very rare variation of the single coronary artery anomaly. the anomalous vessel arises from the proximal or midportion of the lad and courses anterior to the pulmonary artery trunk in most instances. in this case report, a 61-year-old woman is introduced who underwent coronary...

متن کامل

Anomalous origin of the right coronary artery from the left anterior descending coronary artery.

This is the first presentation of anomalous origin of right coronary artery (RCA) from mid-left anterior descending (LAD) coronary artery. A 77-year-old male was catheterized because of recent onset of fatigue during exertion. The LAD demonstrated 50-60% narrowing just proximal to the anomalous origin of the RCA. The patient was maintained on oral medication.

متن کامل

an interesting anomalous coronary artery: right coronary artery arising from the mid part of the left anterior descending artery

a 48-year-old woman was admitted to the emergency department with complaints of typical chest pain, cold sweat, and dyspnea of 24 hours’ duration. she had a history of hypertension, hyperlipidemia, and diabetes mellitus for many years. on admission, her electrocardiogram (ecg) revealed normal sinus rhythm and dynamic t inversion in the precordial leads. her enzyme levels were normal. transthora...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
the journal of tehran university heart center

جلد ۶، شماره ۴، صفحات ۲۱۷-۲۱۹

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023