Browse > Article
http://dx.doi.org/10.4070/kcj.2013.43.6.408

Anomalous Separate Origin of Left Anterior Descending Coronary Artery: Presented as Acute Anterior Myocardial Infarction  

Hong, Man Yong (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital)
Shin, Dae-Hee (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital)
Kwon, Jang Hoon (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital)
Chang, Woo-Sung (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital)
Choi, Kyu Un (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital)
Song, Yun A (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital)
Oh, Kwang Hoon (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital)
Lee, Je Hoon (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital)
Publication Information
Korean Circulation Journal / v.43, no.6, 2013 , pp. 408-410 More about this Journal
Abstract
Coronary artery anomalies are rare presentations in primary percutaneous coronary interventions of acute myocardial infarction. Herein, we report the case of a 59-year-old man with acute anterior myocardial infarction who had anomalous separate origin of left anterior descending artery (LAD) and left circumflex artery (LCX) from the left coronary aortic sinus. Coronary angiography showed a normal right coronary artery and LCX, but no visualization of the LAD. After several unsuccessful attempts to cannulate the LAD, we found the LAD ostium located by the side of the LCX ostium. There was total occlusion at proxymal LAD. Coronary computed tomography angiography demonstrated the precise, separate origin of LAD and LCX from the left coronary aortic sinus.
Keywords
Coronary vessel anomalies; Acute anterior wall myocardial infarction;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Papadopoulos DP, Dalianis N, Benos I, Votteas V, Anagnostopoulou S. Anomalous origin of circumflex artery from right sinus of Valsalva: a rare cause of non-ST elevation syndrome. Int J Cardiol 2007;114: e105-6.   DOI
2 Kim JH, Ha GJ, Seong MJ, et al. Anomalous origin of the left circumflex coronary artery from the first diagonal branch presented as acute myocardial infarction. Korean Circ J 2011;41:612-4.   DOI
3 Rohit M, Bagga S, Talwar KK. Double right coronary artery with acute inferior wall myocardial infarction. J Invasive Cardiol 2008;20:E37-40.
4 Cademartiri F, La Grutta L, Malago R, et al. Prevalence of anatomical variants and coronary anomalies in 543 consecutive patients studied with 64-slice CT coronary angiography. Eur Radiol 2008;18:781-91.   DOI
5 Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol 1992; 20:640-7.   DOI
6 Serota H, Barth CW 3rd, Seuc CA, Vandormael M, Aguirre F, Kern MJ. Rapid identification of the course of anomalous coronary arteries in adults: the "dot and eye" method. Am J Cardiol 1990;65:891-8.   DOI
7 Malago R, D'Onofrio M, Brunelli S, et al. Anatomical variants and anomalies of the coronary tree studied with MDCT coronary angiography. Radiol Med 2010;115:679-92.   DOI