A Combination of Two Rare Coronary Anomalies Makes It Even Rarer: Right Sided Single Coronary Artery with Dual Left Anterior Descending Artery.
| Autor: | Barbaryan A; Department of Medicine, HSHS Saint Mary's Hospital, Decatur, IL 62521, USA., Addai T; Department of Cardiology, HSHS Saint Mary's Hospital, Decatur, IL 62521, USA., Kola M; Department of Cardiology, HSHS Saint Mary's Hospital, Decatur, IL 62521, USA., Raqeem MW; Department of Medicine, HSHS Saint Mary's Hospital, Decatur, IL 62521, USA., Barsamyan S; Oxford Heart Rhythm Service, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Headley Way, Headington, Oxford OX3 9DU, UK., Mirrakhimov AE; Department of Medicine, University of Kentucky, Lexington, KY 40506, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Case reports in cardiology [Case Rep Cardiol] 2016; Vol. 2016, pp. 4905941. Date of Electronic Publication: 2016 May 18. |
| DOI: | 10.1155/2016/4905941 |
| Abstrakt: | An 82-year-old female with history of hyperlipidemia and hypertension presented to the clinic with chief complaint of nonradiating chest tightness accompanied by exertional dyspnea. Cardiac catheterization showed the absence of left coronary system; the entire coronary system originated from the right aortic sinus as a common trunk which then gave off the right coronary artery and the left main coronary artery. Cardiac catheterization demonstrated also another rare coronary anomaly: dual left anterior descending artery. Patient underwent percutaneous coronary intervention and subsequent multidetector computed tomography angiography confirmed the above angiography findings. Patient was subsequently discharged home on double antiplatelet therapy with aspirin and clopidogrel and has been asymptomatic since then. |
| Databáze: | MEDLINE |
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