Left anterior descending artery hyper dominance giving rise to the posterior descending artery: an extremely rare coronary anomaly and its clinical implications

The prevalence of congenital coronary artery anomalies is approximately 1% in the general population. They are a common cause of sudden death in younger persons. The origination of the posterior descending artery (PDA) from left anterior descending (LAD) artery is an extremely rare anomaly. We prese...

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Main Authors: Muhammad Shabbir Rawala, Alex Munoz, S. Tahira Shah Naqvi, Mohammad Hassan Pervaiz
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2020-01-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://dx.doi.org/10.1080/20009666.2019.1710056
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author Muhammad Shabbir Rawala
Alex Munoz
S. Tahira Shah Naqvi
Mohammad Hassan Pervaiz
author_facet Muhammad Shabbir Rawala
Alex Munoz
S. Tahira Shah Naqvi
Mohammad Hassan Pervaiz
author_sort Muhammad Shabbir Rawala
collection DOAJ
description The prevalence of congenital coronary artery anomalies is approximately 1% in the general population. They are a common cause of sudden death in younger persons. The origination of the posterior descending artery (PDA) from left anterior descending (LAD) artery is an extremely rare anomaly. We present a case of a 54-year-old female who presented with diabetic ketoacidosis with co-existing non-ST elevation myocardial infarction, therefore, had an invasive angiogram that identified the anomalous origin of PDA from LAD. It is vital to define coronary anatomy as anomalies dictate which cardiac intervention should be attempted in cases of ischemia.
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spelling doaj.art-a6e68aa401924766bf06e9b99f457d372023-01-02T21:40:36ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662020-01-01101768010.1080/20009666.2019.17100561710056Left anterior descending artery hyper dominance giving rise to the posterior descending artery: an extremely rare coronary anomaly and its clinical implicationsMuhammad Shabbir Rawala0Alex Munoz1S. Tahira Shah Naqvi2Mohammad Hassan Pervaiz3WVU-Charleston DivisionUniversity of KentuckyJinnah Medical & Dental CollegeWVU-Charleston DivisionThe prevalence of congenital coronary artery anomalies is approximately 1% in the general population. They are a common cause of sudden death in younger persons. The origination of the posterior descending artery (PDA) from left anterior descending (LAD) artery is an extremely rare anomaly. We present a case of a 54-year-old female who presented with diabetic ketoacidosis with co-existing non-ST elevation myocardial infarction, therefore, had an invasive angiogram that identified the anomalous origin of PDA from LAD. It is vital to define coronary anatomy as anomalies dictate which cardiac intervention should be attempted in cases of ischemia.http://dx.doi.org/10.1080/20009666.2019.1710056coronary artery anomalyleft anterior descending arteryposterior descending artery
spellingShingle Muhammad Shabbir Rawala
Alex Munoz
S. Tahira Shah Naqvi
Mohammad Hassan Pervaiz
Left anterior descending artery hyper dominance giving rise to the posterior descending artery: an extremely rare coronary anomaly and its clinical implications
Journal of Community Hospital Internal Medicine Perspectives
coronary artery anomaly
left anterior descending artery
posterior descending artery
title Left anterior descending artery hyper dominance giving rise to the posterior descending artery: an extremely rare coronary anomaly and its clinical implications
title_full Left anterior descending artery hyper dominance giving rise to the posterior descending artery: an extremely rare coronary anomaly and its clinical implications
title_fullStr Left anterior descending artery hyper dominance giving rise to the posterior descending artery: an extremely rare coronary anomaly and its clinical implications
title_full_unstemmed Left anterior descending artery hyper dominance giving rise to the posterior descending artery: an extremely rare coronary anomaly and its clinical implications
title_short Left anterior descending artery hyper dominance giving rise to the posterior descending artery: an extremely rare coronary anomaly and its clinical implications
title_sort left anterior descending artery hyper dominance giving rise to the posterior descending artery an extremely rare coronary anomaly and its clinical implications
topic coronary artery anomaly
left anterior descending artery
posterior descending artery
url http://dx.doi.org/10.1080/20009666.2019.1710056
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