Dual Supply of Left Anterior Descending Coronary Artery on Coronary Computed Tomographic Angiography Not Recognized
Edward Mardakhaev1, Mark Guelfguat2, Jay S Meisner3
1School of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA.
Insights
A rare dual left anterior descending (LAD) artery anomaly was found in a patient with recurrent angina. This coronary variation, with LADs from different origins, highlights anatomical complexities in cardiac patients.
Area of Science:
- Cardiology
- Anatomical variations
- Coronary artery disease
Background:
- A dual left anterior descending (LAD) artery is a rare coronary anomaly.
- Variations in coronary anatomy can lead to significant clinical symptoms.
- Recurrent angina pectoris necessitates thorough investigation of coronary circulation.
Abstract:
A dual left anterior descending (LAD) artery is an infrequent anomaly of the coronary circulation with rare variations that may cause symptoms. We report a 60-year-old man who underwent multiple percutaneous cardiac catheterizations with stent placements and presented with recurrent angina pectoris. Coronary computed tomographic angiography demonstrated a dual LAD with the long and short LADs originating from the right coronary artery and the left main coronary artery, respectively.
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