Anomalous right coronary artery arising from left anterior descending artery

A 54-year-old male patient presented with acute myocardial infarction involving left anterior descending and right coronary artery territories. Coronary angiogram showed a single coronary artery with right coronary artery arising from left anterior descending artery (LAD), which coursed anterior to...

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Main Authors: M.L. Sreenivas Kumar, D. Rajasekhar, V. Vanajakshamma, C.Shashanka
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-07-01
Series:Journal of Clinical and Scientific Research
Subjects:
Online Access:http://svimstpt.ap.nic.in/jcsr/jul-sep%2012_files/jul-sep%202012/cr3.pdf
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author M.L. Sreenivas Kumar
D. Rajasekhar
V. Vanajakshamma
C.Shashanka
author_facet M.L. Sreenivas Kumar
D. Rajasekhar
V. Vanajakshamma
C.Shashanka
author_sort M.L. Sreenivas Kumar
collection DOAJ
description A 54-year-old male patient presented with acute myocardial infarction involving left anterior descending and right coronary artery territories. Coronary angiogram showed a single coronary artery with right coronary artery arising from left anterior descending artery (LAD), which coursed anterior to right ventricular outflow tract and thrombotic lesion in mid left anterior descending artery before origin of right coronary artery. The patient was treated with thrombolytic therapy and glycoprotein IIb/IIIa inhibitors. Anomalous origin of right coronary artery as a branch of LAD is a very rare type of congenital coronary artery anomalies. It is important to recognize this anomaly as it can be associated with extensive myocardial ischemia and sudden cardiac death in young persons even without atherosclerosis.
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spelling doaj.art-1d14412fa7be42729c547671e73869d72022-12-22T01:35:09ZengWolters Kluwer Medknow PublicationsJournal of Clinical and Scientific Research2277-57062277-83572012-07-0113144147Anomalous right coronary artery arising from left anterior descending arteryM.L. Sreenivas Kumar0D. Rajasekhar1V. Vanajakshamma2C.Shashanka3Department of Cardiology, Sri Venkateswara Institute of Medical Sciences, TirupatiDepartment of Cardiology, Sri Venkateswara Institute of Medical Sciences, TirupatiDepartment of Cardiology, Sri Venkateswara Institute of Medical Sciences, TirupatiDepartment of Cardiology, Sri Venkateswara Institute of Medical Sciences, TirupatiA 54-year-old male patient presented with acute myocardial infarction involving left anterior descending and right coronary artery territories. Coronary angiogram showed a single coronary artery with right coronary artery arising from left anterior descending artery (LAD), which coursed anterior to right ventricular outflow tract and thrombotic lesion in mid left anterior descending artery before origin of right coronary artery. The patient was treated with thrombolytic therapy and glycoprotein IIb/IIIa inhibitors. Anomalous origin of right coronary artery as a branch of LAD is a very rare type of congenital coronary artery anomalies. It is important to recognize this anomaly as it can be associated with extensive myocardial ischemia and sudden cardiac death in young persons even without atherosclerosis.http://svimstpt.ap.nic.in/jcsr/jul-sep%2012_files/jul-sep%202012/cr3.pdfCongenital coronary anomalySingle coronary artery
spellingShingle M.L. Sreenivas Kumar
D. Rajasekhar
V. Vanajakshamma
C.Shashanka
Anomalous right coronary artery arising from left anterior descending artery
Journal of Clinical and Scientific Research
Congenital coronary anomaly
Single coronary artery
title Anomalous right coronary artery arising from left anterior descending artery
title_full Anomalous right coronary artery arising from left anterior descending artery
title_fullStr Anomalous right coronary artery arising from left anterior descending artery
title_full_unstemmed Anomalous right coronary artery arising from left anterior descending artery
title_short Anomalous right coronary artery arising from left anterior descending artery
title_sort anomalous right coronary artery arising from left anterior descending artery
topic Congenital coronary anomaly
Single coronary artery
url http://svimstpt.ap.nic.in/jcsr/jul-sep%2012_files/jul-sep%202012/cr3.pdf
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AT cshashanka anomalousrightcoronaryarteryarisingfromleftanteriordescendingartery