[Dual left anterior descending coronary artery: a case report]

Area of Science:

• Cardiology
• Vascular Anatomy
• Interventional Cardiology

Background:

• Coronary artery anomalies are uncommon and can present with diverse clinical manifestations.
• Dual left anterior descending (LAD) artery, originating from both the right and left coronary systems, is a particularly rare variation.

Observation:

• A 61-year-old male presented with anginal chest pain and left ventricular hypokinesis.
• Coronary angiography revealed a dual LAD anomaly, with the native LAD showing significant stenosis in its first diagonal branch.
• A second, longer LAD artery originated from the right coronary artery.

Findings:

• The patient had 95% stenosis in the proximal first diagonal artery and 50% stenosis in the mid-segment of the first septal artery.
• Successful stent implantation was performed for the critical stenosis in the first diagonal artery.
• The patient remained symptom-free at three months post-intervention.

Implications:

• This case underscores the importance of recognizing and diagnosing rare coronary anomalies like dual LAD.
• Accurate identification through coronary angiography is crucial for appropriate management and treatment planning.
• Successful intervention in complex coronary anatomy can lead to favorable patient outcomes.