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Kugel's Artery: Silent Bystander or Savior?
Joshua T Narh1, Khushal V Choudhary2, Adeniyi Okunade1
1Internal Medicine, One Brooklyn Health - Brookdale University Hospital and Medical Center, Brooklyn, USA.
Kugel's artery, a rare coronary artery variant, connects major arteries. This anatomical connection can be vital in patients with coronary artery disease by maintaining blood flow during blockages.
Area of Science:
- Cardiovascular Anatomy
- Interventional Cardiology
- Vascular Biology
Background:
- Kugel's artery is a rare coronary artery anastomosis, occurring in approximately 6% of the population.
- It involves connections between the right coronary artery (RCA) and/or left circumflex artery (LCX) branches.
- Its significance in coronary artery disease (CAD) and myocardial perfusion is increasingly recognized.
Observation:
- This case report details a patient with multivessel occlusion myocardial infarction.
- An anomalous vascular anastomosis, identified as Kugel's artery, was observed.
- The connection was between the proximal and distal segments of the right coronary artery.
Findings:
- The identified Kugel's artery provided an anomalous vascular connection.
- This bypasses an area of epicardial vessel occlusion.
- The anastomosis potentially maintained myocardial perfusion and viability despite significant CAD.
Implications:
- Understanding Kugel's artery is crucial for interpreting coronary anatomy in CAD patients.
- This variant can be a critical compensatory mechanism, preserving heart muscle.
- Recognition of such anastomoses can influence revascularization strategies and prognosis.
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