Anomalous Separate Origin of Left Anterior Descending Coronary Artery: Presented as Acute Anterior Myocardial Infarction

Coronary artery anomalies are rare presentations in primary percutaneous coronary interventions of acute myocardial infarction. Herein, we report the case of a 59-year-old man with acute anterior myocardial infarction who had anomalous separate origin of left anterior descending artery (LAD) and lef...

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Main Authors: Hong, Man Yong, Shin, Dae-Hee, Kwon, Jang Hoon, Chang, Woo-Sung, Choi, Kyu Un, Song, Yun A, Oh, Kwang Hoon, Lee, Je Hoon
Format: Online
Language:English
Published: The Korean Society of Cardiology 2013
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3717424/
id pubmed-3717424
recordtype oai_dc
spelling pubmed-37174242013-07-23 Anomalous Separate Origin of Left Anterior Descending Coronary Artery: Presented as Acute Anterior Myocardial Infarction Hong, Man Yong Shin, Dae-Hee Kwon, Jang Hoon Chang, Woo-Sung Choi, Kyu Un Song, Yun A Oh, Kwang Hoon Lee, Je Hoon Case Report Coronary artery anomalies are rare presentations in primary percutaneous coronary interventions of acute myocardial infarction. Herein, we report the case of a 59-year-old man with acute anterior myocardial infarction who had anomalous separate origin of left anterior descending artery (LAD) and left circumflex artery (LCX) from the left coronary aortic sinus. Coronary angiography showed a normal right coronary artery and LCX, but no visualization of the LAD. After several unsuccessful attempts to cannulate the LAD, we found the LAD ostium located by the side of the LCX ostium. There was total occlusion at proxymal LAD. Coronary computed tomography angiography demonstrated the precise, separate origin of LAD and LCX from the left coronary aortic sinus. The Korean Society of Cardiology 2013-06 2013-06-30 /pmc/articles/PMC3717424/ /pubmed/23882290 http://dx.doi.org/10.4070/kcj.2013.43.6.408 Text en Copyright © 2013 The Korean Society of Cardiology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Hong, Man Yong
Shin, Dae-Hee
Kwon, Jang Hoon
Chang, Woo-Sung
Choi, Kyu Un
Song, Yun A
Oh, Kwang Hoon
Lee, Je Hoon
spellingShingle Hong, Man Yong
Shin, Dae-Hee
Kwon, Jang Hoon
Chang, Woo-Sung
Choi, Kyu Un
Song, Yun A
Oh, Kwang Hoon
Lee, Je Hoon
Anomalous Separate Origin of Left Anterior Descending Coronary Artery: Presented as Acute Anterior Myocardial Infarction
author_facet Hong, Man Yong
Shin, Dae-Hee
Kwon, Jang Hoon
Chang, Woo-Sung
Choi, Kyu Un
Song, Yun A
Oh, Kwang Hoon
Lee, Je Hoon
author_sort Hong, Man Yong
title Anomalous Separate Origin of Left Anterior Descending Coronary Artery: Presented as Acute Anterior Myocardial Infarction
title_short Anomalous Separate Origin of Left Anterior Descending Coronary Artery: Presented as Acute Anterior Myocardial Infarction
title_full Anomalous Separate Origin of Left Anterior Descending Coronary Artery: Presented as Acute Anterior Myocardial Infarction
title_fullStr Anomalous Separate Origin of Left Anterior Descending Coronary Artery: Presented as Acute Anterior Myocardial Infarction
title_full_unstemmed Anomalous Separate Origin of Left Anterior Descending Coronary Artery: Presented as Acute Anterior Myocardial Infarction
title_sort anomalous separate origin of left anterior descending coronary artery: presented as acute anterior myocardial infarction
description Coronary artery anomalies are rare presentations in primary percutaneous coronary interventions of acute myocardial infarction. Herein, we report the case of a 59-year-old man with acute anterior myocardial infarction who had anomalous separate origin of left anterior descending artery (LAD) and left circumflex artery (LCX) from the left coronary aortic sinus. Coronary angiography showed a normal right coronary artery and LCX, but no visualization of the LAD. After several unsuccessful attempts to cannulate the LAD, we found the LAD ostium located by the side of the LCX ostium. There was total occlusion at proxymal LAD. Coronary computed tomography angiography demonstrated the precise, separate origin of LAD and LCX from the left coronary aortic sinus.
publisher The Korean Society of Cardiology
publishDate 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3717424/
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