Kugel’s Artery: Silent Bystander or Savior?
| Autor: | Adeniyi Okunade, Joshua Tetteh Narh, Erdal Cavusoglu, Anoop V Puskoor, Khushal V Choudhary, Kriti Lnu, Yuvraj S. Chowdhury |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome medicine.medical_treatment Population Cardiology acute coronary syndrome Coronary artery disease Coronary circulation medicine.artery Internal medicine Internal Medicine medicine Myocardial infarction education chronic total occlusion education.field_of_study kugel’s artery business.industry percutaneous coronary intervention General Engineering Percutaneous coronary intervention medicine.disease medicine.anatomical_structure Right coronary artery Anatomy business coronary artery disease Artery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Kugel’s artery is defined as a rare anatomical variant of the coronary artery vascular bed consisting of an anastomotic connection between branches of the right coronary artery (RCA) and/or left circumflex artery (LCX). Kugel’s artery has been reported to have an incidence of 6% in the general population. The presence of this anastomotic communication may play a pathophysiological role in a patient with a right dominant coronary circulation and an underlying coronary artery disease (CAD) affecting the right coronary system. Understanding the existence and significance of Kugel’s artery and the anastomotic network cannot be overemphasized. The presence of an anomalous vascular connection bypassing an area of epicardial vessel occlusion may be a lifesaving pathophysiological finding that maintains myocardial perfusion and viability. Herein, we present a case with multivessel occlusion myocardial infarction found to have anomalous vascular anastomosis between the proximal RCA and distal segment of the same artery. |
| Databáze: | OpenAIRE |
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