کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2978011 | 1179510 | 2014 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: PCI in a case of dual (type IV) LAD with anomalous origin of the LCx from RCA PCI in a case of dual (type IV) LAD with anomalous origin of the LCx from RCA](/preview/png/2978011.png)
Dual left anterior descending coronary artery (LAD) originating from the left main stem and the right coronary artery (type IV LAD) is a rare congenital anomaly. Its association with an anomalous origin of the left circumflex (LCx) from RCA is even rarer.We describe a patient presenting with acute inferior wall myocardial infarction, who was subsequently found to have this coronary anomaly. He underwent staged PCI of the dominant RCA and anomalous LCx successfully through the radial route.We conclude that anomalous coronaries can be safely and successfully treated through the radial route after careful evaluation of origin and course of the anomalous vessels. CT coronary angiography is extremely useful in delineating the vessel course and particularly their relation to great arteries.
Journal: Journal of the Saudi Heart Association - Volume 26, Issue 1, January 2014, Pages 43–46