New congenital coronary artery anomaly - double supply of single left anterior descending coronary artery from the left and right coronary sinuses: a case report

Yunis Daralammouri; Malik Ghannam; Bernward Lauer

doi:10.1186/s13256-016-1003-7

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New congenital coronary artery anomaly - double supply of single left anterior descending coronary artery from the left and right coronary sinuses: a case report

Journal article

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New congenital coronary artery anomaly - double supply of single left anterior descending coronary artery from the left and right coronary sinuses: a case report

Yunis Daralammouri, Malik Ghannam and Bernward Lauer

Journal of medical case reports, Vol.10(1), pp.211-211

08/02/2016

DOI: 10.1186/s13256-016-1003-7

PMCID: PMC4970283

PMID: 27484640

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Abstract

A normal anatomy of coronary arteries is important to have adequate cardiac muscle blood supply especially during extraneous physical activities. This case report describes a rare coronary anomaly in which the accessory coronary artery arose from the right coronary artery, reentered the left anterior descending coronary artery, and then ran as a single vessel. We present a case of a coronary anomaly in a 47-year-old white man who presented with atypical angina. Computed tomographic angiography and coronary angiography showed a variant of dual left anterior descending coronary artery not previously described. Our patient's accessory coronary artery arose from his right coronary artery. It took an intramuscular course beneath the right ventricular outflow tract in the interventricular septal area to the anterior interventricular sulcus, giving off septal perforators that reentered his medial left anterior descending coronary artery. Both vessels ran after the anastomosis in the anterior interventricular sulcus as a single vessel. We propose that this anomaly represents a new variant of coronary artery anomaly. This coronary artery anomaly does not cause ischemia. Recognition of this coronary anomaly is important in patients undergoing percutaneous coronary intervention or coronary artery bypass graft operations.

Computed Tomography Angiography

Coronary Angiography

Coronary Sinus - diagnostic imaging

Coronary Vessel Anomalies - diagnostic imaging

Coronary Vessels - diagnostic imaging

Humans

Male

Middle Aged

Details

Title: Subtitle: New congenital coronary artery anomaly - double supply of single left anterior descending coronary artery from the left and right coronary sinuses: a case report
Creators: Yunis Daralammouri - An-Najah National University
Malik Ghannam - An-Najah National University
Bernward Lauer - Zentralklinik Bad Berka
Resource Type: Journal article
Publication Details: Journal of medical case reports, Vol.10(1), pp.211-211
DOI: 10.1186/s13256-016-1003-7
PMID: 27484640
PMCID: PMC4970283
ISSN: 1752-1947
eISSN: 1752-1947
Language: English
Date published: 08/02/2016
Academic Unit: Neurology
Record Identifier: 9984585318302771

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