A Widow-Maker and a Doppelganger: An Anomalous Case of the Coronaries
Jahanzeb Malik1, Tayyaba Zahid1, Omaid Majedi1
1Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi, PAK.
Cureus
|September 14, 2020
Insights
A rare case of acute myocardial infarction involved a dual left anterior descending artery and an anomalous left circumflex artery originating from the right coronary sinus, alongside left main stem stenosis.
Area of Science:
- Cardiology
- Human Anatomy
- Medical Case Reports
Background:
- Coronary artery anomalies are uncommon congenital variations.
- The anomalous origin of the left circumflex (LCX) artery from the right coronary sinus is rare.
- A 'double' or dual left anterior descending (LAD) artery is exceptionally rare.
Observation:
- A patient presented with acute myocardial infarction.
- The condition involved a critical distal stenosis in the left main stem (LMS).
- The LMS supplied both a dual LAD and an aberrant LCX originating from the right coronary sinus.
Findings:
- The case highlights a complex combination of rare coronary artery anomalies.
- Acute myocardial infarction was attributed to LMS pathology in the presence of these anomalies.
- A clot was present within the stenosed LMS.
Implications:
- This case underscores the importance of recognizing rare coronary anomalies in clinical practice.
- Accurate diagnosis and understanding of complex coronary anatomy are crucial for managing myocardial infarction.
- Such anomalies can predispose individuals to significant cardiovascular events.
Abstract:
The anomalous origin of the left circumflex (LCX) artery from the right coronary sinus is a relatively rare condition. A 'double' left anterior descending (LAD) artery is probably the rarest of coronary artery anomalies. We present a case of acute myocardial infarction with a clot and a critical distal stenosis in the left main stem (LMS) supplying a dual LAD and an aberrant origin of the LCX.
Keywords:
"anomalous coronary artery"anomalous left circumflex arterycoronary artery bypass grafting(cabg)dual left anterior descending arteryleft main stem thrombuslms clotprimary percutaneous coronary interventionst-elevation myocardial infarction (stemi)More Related Videos
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