Large intercoronary communication between the right coronary artery and the left circumflex artery in a patient with late stent thrombosis: A case report
Intercoronary communication (ICC) is a very rare coronary artery anomaly that connects directly 2 coronary arteries. This anastomosis is found between 2 nonobstructed coronary arteries with unidirectional or bidirectional blood flow. We report a case of a large ICC between the right coronary artery...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323007112 |
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| author | Xhevdet Krasniqi, MD, PhD Dardan Koçinaj, MD, PhD Basri Sejdiu, MD Lulzim Bashota, MD Agim Krasniqi, MD, PhD Fisnik Veliu, MD Aurora Bakalli, MD, PhD |
| author_facet | Xhevdet Krasniqi, MD, PhD Dardan Koçinaj, MD, PhD Basri Sejdiu, MD Lulzim Bashota, MD Agim Krasniqi, MD, PhD Fisnik Veliu, MD Aurora Bakalli, MD, PhD |
| author_sort | Xhevdet Krasniqi, MD, PhD |
| collection | DOAJ |
| description | Intercoronary communication (ICC) is a very rare coronary artery anomaly that connects directly 2 coronary arteries. This anastomosis is found between 2 nonobstructed coronary arteries with unidirectional or bidirectional blood flow. We report a case of a large ICC between the right coronary artery and the left circumflex artery in a patient with late stent thrombosis. The electrocardiogram showed ST-segment elevation in the anterior leads. The echocardiography investigation revealed hypokinesis in the proximal, medial and apical segments of the interventricular septum and anterior wall as well as the apex. During invasive coronary examination a large ICC between the left circumflex artery (LCx) and the right coronary artery (RCA) was found. Furthermore, coronary angiography demonstrated proximal occlusion (stent thrombosis) of the left anterior descending artery (LAD), prompting the utilization of percutaneous intervention with a drug-eluting stent. The presence of a large intercoronary communication is an exceedingly uncommon anomaly of the coronary arteries, which has the potential to induce myocardial ischemia. In individuals with obstructive coronary artery disease, this anomaly can further worsen the existing condition. |
| first_indexed | 2024-03-11T16:47:06Z |
| format | Article |
| id | doaj.art-47d06bcd1d3340ec94ca982583d16177 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-11T16:47:06Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-47d06bcd1d3340ec94ca982583d161772023-10-22T04:48:54ZengElsevierRadiology Case Reports1930-04332023-12-01181245854588Large intercoronary communication between the right coronary artery and the left circumflex artery in a patient with late stent thrombosis: A case reportXhevdet Krasniqi, MD, PhD0Dardan Koçinaj, MD, PhD1Basri Sejdiu, MD2Lulzim Bashota, MD3Agim Krasniqi, MD, PhD4Fisnik Veliu, MD5Aurora Bakalli, MD, PhD6Medical Faculty, University of Prishtina “Hasan Prishtina”, Pristina, Republic of Kosova; Clinic of Cardiology, University Clinical Center of Kosova, Pristina, Republic of KosovaUnited Hospital, Pristina, Republic of KosovaClinic of Cardiology, University Clinical Center of Kosova, Pristina, Republic of KosovaClinic of Cardiology, University Clinical Center of Kosova, Pristina, Republic of KosovaMedical Faculty, University of Prishtina “Hasan Prishtina”, Pristina, Republic of Kosova; Clinic of Cardiology, University Clinical Center of Kosova, Pristina, Republic of KosovaClinic of Cardiology, University Clinical Center of Kosova, Pristina, Republic of KosovaMedical Faculty, University of Prishtina “Hasan Prishtina”, Pristina, Republic of Kosova; Clinic of Cardiology, University Clinical Center of Kosova, Pristina, Republic of Kosova; Corresponding author.Intercoronary communication (ICC) is a very rare coronary artery anomaly that connects directly 2 coronary arteries. This anastomosis is found between 2 nonobstructed coronary arteries with unidirectional or bidirectional blood flow. We report a case of a large ICC between the right coronary artery and the left circumflex artery in a patient with late stent thrombosis. The electrocardiogram showed ST-segment elevation in the anterior leads. The echocardiography investigation revealed hypokinesis in the proximal, medial and apical segments of the interventricular septum and anterior wall as well as the apex. During invasive coronary examination a large ICC between the left circumflex artery (LCx) and the right coronary artery (RCA) was found. Furthermore, coronary angiography demonstrated proximal occlusion (stent thrombosis) of the left anterior descending artery (LAD), prompting the utilization of percutaneous intervention with a drug-eluting stent. The presence of a large intercoronary communication is an exceedingly uncommon anomaly of the coronary arteries, which has the potential to induce myocardial ischemia. In individuals with obstructive coronary artery disease, this anomaly can further worsen the existing condition.http://www.sciencedirect.com/science/article/pii/S1930043323007112Intercoronary communicationMyocardial ischemia |
| spellingShingle | Xhevdet Krasniqi, MD, PhD Dardan Koçinaj, MD, PhD Basri Sejdiu, MD Lulzim Bashota, MD Agim Krasniqi, MD, PhD Fisnik Veliu, MD Aurora Bakalli, MD, PhD Large intercoronary communication between the right coronary artery and the left circumflex artery in a patient with late stent thrombosis: A case report Radiology Case Reports Intercoronary communication Myocardial ischemia |
| title | Large intercoronary communication between the right coronary artery and the left circumflex artery in a patient with late stent thrombosis: A case report |
| title_full | Large intercoronary communication between the right coronary artery and the left circumflex artery in a patient with late stent thrombosis: A case report |
| title_fullStr | Large intercoronary communication between the right coronary artery and the left circumflex artery in a patient with late stent thrombosis: A case report |
| title_full_unstemmed | Large intercoronary communication between the right coronary artery and the left circumflex artery in a patient with late stent thrombosis: A case report |
| title_short | Large intercoronary communication between the right coronary artery and the left circumflex artery in a patient with late stent thrombosis: A case report |
| title_sort | large intercoronary communication between the right coronary artery and the left circumflex artery in a patient with late stent thrombosis a case report |
| topic | Intercoronary communication Myocardial ischemia |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323007112 |
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