Hostname: page-component-68945f75b7-72kh6 Total loading time: 0 Render date: 2024-08-05T17:53:51.206Z Has data issue: false hasContentIssue false

Single coronary artery with a pre-pulmonic dual left anterior descending artery and a retro-aortic left circumflex artery

Published online by Cambridge University Press:  26 May 2016

Soham Shah
Affiliation:
Department of Radiology, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States of America
Prabhakar Rajiah*
Affiliation:
Department of Radiology, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States of America Department of Radiology, Cardiothoracic Imaging, UT Southwestern Medical Center, Dallas, Texas, United States of America
*
Correspondence to: P. Rajiah, Associate Professor of Radiology, Cardiothoracic Imaging, UT Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, Texas, 75390, United States of America. Tel: +214 648 3121; Fax: +214 648 5641; E-mail: radprabhakar@gmail.com

Abstract

We present two cases of an unusual coronary artery anomaly, namely, a single coronary artery with retro-aortic course of the left circumflex artery and pre-pulmonic course of the left anterior descending artery, and one of which showed a dual left anterior descending artery as well – a combination that has not yet been reported in the literature.

Type
Brief Reports
Copyright
© Cambridge University Press 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Neufeld, HN, Scheeeweiss, A. Coronary Artery Disease in Infants and Children. Lea & Febiger Publishers, Philadelphia, PA, 1983: 125.Google Scholar
2. Angelini, P. Coronary artery anomalies. Circulation 2007; 115: 12961305.Google Scholar
3. Angelini, P, Villason, S, Chan, AV, Diez, JG. Normal and anomalous coronary arteries in humans. In: Angelini P (ed.). Coronary artery anomalies: A comprehensive approach. Philadelphia: Lippincott Williams & Wilkins; 1999: 27150.Google Scholar
4. Eckart, RE, Scoville, SL, Campbell, CL, et al. Sudden death in young adults: a 25-year review of autopsies in military recruits. Ann Intern Med 2004; 141: 829883.Google Scholar
5. Drory, Y, Turetz, Y, Hiss, Y, et al. Sudden unexpected death in persons less than 40 years of age. Am J Cardiol 1991; 68: 13881392.CrossRefGoogle Scholar
6. Kim, SO, Seo, JB, Do, KH, et al. Coronary artery anomalies: classification and ECG-gated multi-detector row CT findings with angiographic correlation. Radiographics 2006; 26: 317334.Google Scholar
7. Desmet, W, Vanhaecke, J, Vrolix, M, et al. Isolated single coronary artery: a review of 50000 consecutive coronary angiographies. Eur Heart J 1992; 13: 16371640.CrossRefGoogle Scholar
8. Shriki, JE, Shinbane, JS, Rashid, MA, et al. Identifying, characterizing and classifying congenital anomalies of coronary arteries. Radiographics 2012; 32: 453468.CrossRefGoogle Scholar
9. Corrado, D, Penelli, T, Piovesana, P, Thiene, G. Anomalous origin of the left circumflex coronary artery from the right aortic sinus of Valsalva and sudden death. Cardiovasc Pathol 1994; 3: 269271.Google Scholar
10. Carboni, GP, Sedati, P. A rare, life-threatening effort angina and anomalous origin of the left circumflex coronary artery: CT and SPECT findings. BMJ Case Rep 2013; 18: 12.Google Scholar
11. West, NE, McKenna, CJ, Ormerod, O, Forfar, JC, Banning, AP, Channon, KM. Percutaneous coronary intervention with stent deployment in anomalously-arising left circumflex coronary arteries. Catheter Cardiovasc Interv 2006; 68: 882890.Google Scholar
12. Davis, JT, Teske, DW, Allen, HD, Cohen, DM, Schauer, GM. Anomalous course of the left main coronary artery in tetralogy of Fallot. Ann Thorac Surg 1996; 61: 229231.Google Scholar
13. Sanford, GB, Molavi, B, Sinha, AK, et al. Single coronary artery with prepulmonic coursing left main coronary artery manifesting as prinzemetal’s angina. Tex Heart Inst J 2007; 34: 449452.Google Scholar
14. Bozlar, U, Ugurel, MS, Sari, S, et al. Prevalence of dual left anterior descending artery variations in CT angiography. Diagn Interv Radiol 2015; 21: 3441.Google Scholar
15. Agarwal, PP, Kazerooni, EA. Dual left anterior descending coronary artery: CT findings. AJR Am J Roentgenol 2008; 191: 16981701.Google Scholar
16. Cook, AC, Anderson, RH. Attitudinally correct nomenclature. Heart 2002; 87: 503506.CrossRefGoogle ScholarPubMed