Congenital Absence of Left Circumflex Coronary Artery
Congenital absence of left circumflex artery is a rare congenitalanomaly of the coronary arteries. The prevalence of theanomaly in different studies ranges from 0.6% to 1.3%. Ofthese, 80% are benign and asymptomatic and 20% are clinicallyimportant. We report a 56-year-old man presented withacute res...
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Format: | Article |
Language: | English |
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Shiraz University of Medical Sciences
2009-09-01
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Series: | Iranian Journal of Medical Sciences |
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Online Access: | http://ijms.sums.ac.ir/files/PDFfiles/34_3_11-Dr_%20Ansari.pdf |
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author | Zahra Ansari Hossein Nough |
author_facet | Zahra Ansari Hossein Nough |
author_sort | Zahra Ansari |
collection | DOAJ |
description | Congenital absence of left circumflex artery is a rare congenitalanomaly of the coronary arteries. The prevalence of theanomaly in different studies ranges from 0.6% to 1.3%. Ofthese, 80% are benign and asymptomatic and 20% are clinicallyimportant. We report a 56-year-old man presented withacute resting chest pain who was diagnosed as having acuteanterolateral infarction accompanied by electrocardiographicchanges and elevated cardiac enzymes. Coronary angiographyin different views was conducted, however, no left circumflexartery was found. The territory supplied by the artery had beenperfused by the super dominant right coronary artery. Therewas no left circumflex coronary artery with anomalous origin.Sever stenosis of left anterior ascending artery superimposedto the absent left circumflex artery was presented as acute anterolateralinfarction. Although absence of the artery is mostlyconsidered as a benign condition, atherosclerotic lesions maybe more important in such cases because of diminished compensatingmechanisms. |
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format | Article |
id | doaj.art-5cdcbdd7fa7d431a98d125b6f411e74c |
institution | Directory Open Access Journal |
issn | 0253-0716 1735-3688 |
language | English |
last_indexed | 2024-12-20T14:14:19Z |
publishDate | 2009-09-01 |
publisher | Shiraz University of Medical Sciences |
record_format | Article |
series | Iranian Journal of Medical Sciences |
spelling | doaj.art-5cdcbdd7fa7d431a98d125b6f411e74c2022-12-21T19:38:05ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882009-09-01343217219Congenital Absence of Left Circumflex Coronary ArteryZahra AnsariHossein NoughCongenital absence of left circumflex artery is a rare congenitalanomaly of the coronary arteries. The prevalence of theanomaly in different studies ranges from 0.6% to 1.3%. Ofthese, 80% are benign and asymptomatic and 20% are clinicallyimportant. We report a 56-year-old man presented withacute resting chest pain who was diagnosed as having acuteanterolateral infarction accompanied by electrocardiographicchanges and elevated cardiac enzymes. Coronary angiographyin different views was conducted, however, no left circumflexartery was found. The territory supplied by the artery had beenperfused by the super dominant right coronary artery. Therewas no left circumflex coronary artery with anomalous origin.Sever stenosis of left anterior ascending artery superimposedto the absent left circumflex artery was presented as acute anterolateralinfarction. Although absence of the artery is mostlyconsidered as a benign condition, atherosclerotic lesions maybe more important in such cases because of diminished compensatingmechanisms.http://ijms.sums.ac.ir/files/PDFfiles/34_3_11-Dr_%20Ansari.pdfCircumflex arterycoronary anomalycongenital anomaly |
spellingShingle | Zahra Ansari Hossein Nough Congenital Absence of Left Circumflex Coronary Artery Iranian Journal of Medical Sciences Circumflex artery coronary anomaly congenital anomaly |
title | Congenital Absence of Left Circumflex Coronary Artery |
title_full | Congenital Absence of Left Circumflex Coronary Artery |
title_fullStr | Congenital Absence of Left Circumflex Coronary Artery |
title_full_unstemmed | Congenital Absence of Left Circumflex Coronary Artery |
title_short | Congenital Absence of Left Circumflex Coronary Artery |
title_sort | congenital absence of left circumflex coronary artery |
topic | Circumflex artery coronary anomaly congenital anomaly |
url | http://ijms.sums.ac.ir/files/PDFfiles/34_3_11-Dr_%20Ansari.pdf |
work_keys_str_mv | AT zahraansari congenitalabsenceofleftcircumflexcoronaryartery AT hosseinnough congenitalabsenceofleftcircumflexcoronaryartery |