Collateral circulation to the diagonal artery from the infundibular coronary artery in obstructive coronary arterial
1Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi.
Insights
An unusual collateral pathway was found between the infundibular artery and the diagonal artery in a young man with a recent heart attack. This finding highlights the importance of selective arteriography for evaluating coronary arterial disease.
Area of Science:
- Cardiology
- Vascular Anatomy
Background:
- Coronary artery disease (CAD) can lead to myocardial infarction.
- Collateral circulation plays a crucial role in mitigating ischemic damage.
- The infundibular artery (conus artery) is a recognized source of collateral supply.
Abstract:
We report an unusual collateral pathway from the isolated infundibular (third coronary) artery to the diagonal artery in a young adult male with a history of recent anteroseptal myocardial infarction and apparently angiographically normal left and right coronary arteries. The isolated infundibular (conus) artery is an important source of collateral pathways in obstructive coronary arterial disease. Its selective arteriography is essential for complete angiographic evaluation of these patients.
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