Short Chronic Total Occlusion Stump Creating an Optical Illusion of an Anomalous Coronary Artery: A Pseudo Anomaly

Coronary artery anomalies are often asymptomatic and detected incidentally during coronary angiography, cardiac surgery, or autopsy. However, sometimes in chronic total occlusion, the distal part of a vessel is well collateralized from the contralateral vessel that it appears almost as an anomalous...

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Bibliographic Details
Main Authors: Ankit Kumar Sahu, Pramod Sagar, Satyendra Tewari, Aditya Kapoor
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of the Practice of Cardiovascular Sciences
Subjects:
Online Access:http://www.j-pcs.org/article.asp?issn=2395-5414;year=2023;volume=9;issue=1;spage=76;epage=78;aulast=Sahu
Description
Summary:Coronary artery anomalies are often asymptomatic and detected incidentally during coronary angiography, cardiac surgery, or autopsy. However, sometimes in chronic total occlusion, the distal part of a vessel is well collateralized from the contralateral vessel that it appears almost as an anomalous coronary artery. Here, we discuss a rather interesting angiogram which at first instance, looked like a case of a dual left anterior descending (LAD) artery with anomalous origin of the LAD from the proximal right coronary artery, but after further evaluation appeared to be a case of an occluded LAD filling through Vieussens' arterial ring.
ISSN:2395-5414
2454-2830