A Rare Case of a Type IV Dual Left Anterior Descending Artery and Ectopic Left Anterior Descending and Circumflex Arteries Requiring Surgery

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Mansoor Muhammad; Khan Waqar Ahmad; Abbas Fakhar; Kumari Usha

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Journal Paper

Paper Information

Journal: THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER Year:2022 | Volume:17 | Issue:2 Page(s): 71-74

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Information Journal Paper

Title

A Rare Case of a Type IV Dual Left Anterior Descending Artery and Ectopic Left Anterior Descending and Circumflex Arteries Requiring Surgery

Author(s)

Mansoor Muhammad | Khan Waqar Ahmad | Abbas Fakhar | Kumari Usha | Issue Writer Certificate

Keywords

Coronary vessel anomalies

Coronary vessels

Angiography

Cardiac catheterization

Abstract

Congenital anomalous coronary arteries (CACAs) comprise an important variant of the coronary vasculature. They are benign in the vast majority of cases, whereas a small minority may be affected by serious consequences such as myocardial infarction, arrhythmia, cardiac arrest, and even death. We herein describe a 62-year-old man with sudden and severe substernal chest pain,Q waves in electrocardiographic leads II, III, and aVF,and positive serum troponin I enzyme. Left heart Cardiac catheterization revealed triple coronary vessel disease with a 60% to 70% occlusion in the left main coronary artery (LMCA). The left anterior descending (LAD) and the left circumflex artery arose from the ostium of the right coronary artery. Additionally, a rudimentary type IV dual LAD originated from the LMCA. A coronary artery bypass graft surgery was performed using a left internal mammary artery graft for the LAD and a saphenous vein graft for the diagonal branches (I & II) of the LAD and the posterior descending artery. The patient was discharged after an uneventful 1-week hospital course.

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APA: Copy

Mansoor, Muhammad, Khan, Waqar Ahmad, Abbas, Fakhar, & Kumari, Usha. (2022). A Rare Case of a Type IV Dual Left Anterior Descending Artery and Ectopic Left Anterior Descending and Circumflex Arteries Requiring Surgery. THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER, 17(2), 71-74. SID. https://sid.ir/paper/1041339/en

Vancouver: Copy

Mansoor Muhammad, Khan Waqar Ahmad, Abbas Fakhar, Kumari Usha. A Rare Case of a Type IV Dual Left Anterior Descending Artery and Ectopic Left Anterior Descending and Circumflex Arteries Requiring Surgery. THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER[Internet]. 2022;17(2):71-74. Available from: https://sid.ir/paper/1041339/en

IEEE: Copy

Muhammad Mansoor, Waqar Ahmad Khan, Fakhar Abbas, and Usha Kumari, “A Rare Case of a Type IV Dual Left Anterior Descending Artery and Ectopic Left Anterior Descending and Circumflex Arteries Requiring Surgery,” THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER, vol. 17, no. 2, pp. 71–74, 2022, [Online]. Available: https://sid.ir/paper/1041339/en

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