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Type 4 dual left anterior descending artery: a very rare coronary anomaly circulation

Marcos Danillo Peixoto Oliveira1, Pedro H M Craveiro de Melo1, Antonio Esteves Filho1

  • 1Department of Interventional Cardiology, Heart Institute of the University of São Paulo, Avenida Dr. Enéas de Carvalho Aguiar 44, 05403-900 São Paulo, SP, Brazil.

Case Reports in Cardiology
|May 8, 2015
PubMed

Insights

A rare dual left anterior descending (LAD) artery, a congenital coronary anomaly, was identified in a 44-year-old man experiencing exertional angina. This case highlights a rare variant potentially linked to cardiac events.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Vascular Anatomy

Background:

  • Coronary artery anomalies are congenital variations in coronary artery anatomy.
  • These anomalies are a significant cause of sudden cardiac death, particularly in young athletes.
  • Dual left anterior descending (LAD) artery is an uncommon coronary anomaly.

Purpose of the Study:

  • To report a rare case of type 4 dual LAD artery.
  • To discuss the clinical presentation and diagnostic findings of this anomaly.

Main Methods:

  • Case presentation of a 44-year-old male with exertional angina and ischemia.
  • Diagnostic workup included coronary angiography and computed tomography (CT).

Main Results:

  • Coronary angiography and CT revealed a type 4 dual LAD artery.
  • This represents the rarest and most complex variant of dual LAD artery.

Conclusions:

  • Dual LAD artery is a rare congenital coronary anomaly.
  • Accurate diagnosis through imaging is crucial for understanding potential clinical implications.

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