Successful Restoration of Complete Heart Block to Normal Sinus Rhythm by Primary Angioplasty of Dual Left Anterior Descending Artery
| Autor: | Santosh Kumar Sinha, Vinay Krishna, Shravan Singh, V. N. Chaturvedi, Mohammad Asif, Mukesh Jitendra Jha, Anupam Mahrotra, Lokendra Rekwal, Nasar Abdali, Vikas Mishra, Mahmadula Razi |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Heart block Temporary pacemaker medicine.medical_treatment Primary angioplasty Case Report 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine medicine.artery Internal medicine Dual left anterior descending artery Occlusion Complete heart block Medicine cardiovascular diseases Myocardial infarction business.industry Stent medicine.disease Surgery Temporary Pacemaker medicine.anatomical_structure Right coronary artery cardiovascular system Cardiology Cardiology and Cardiovascular Medicine business 030217 neurology & neurosurgery Artery |
| Zdroj: | Cardiology Research |
| ISSN: | 1923-2837 1923-2829 |
| Popis: | Dual left anterior descending (LAD) artery is a rare coronary anomaly. We present a patient with a rare case of dual LAD, smaller one arising from the left main coronary stem and larger one from right coronary artery who presented with acute anterior wall myocardial infarction with complete heart block (CHB). Temporary pacemaker was implanted and coronary angiogram revealed critical occlusion of proximal LAD which was subsequently revascularized by primary angioplasty using drug-eluting stent (Xience prime, 2.75 × 23 mm) leading to recovery of CHB and restoration to normal rhythm. To the best of our knowledge, this is the first reported case of dual LAD presenting with CHB treated by primary angioplasty reported in the literature. |
| Databáze: | OpenAIRE |
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