Rare Coronary Anomaly of Posterior Descending Artery Arising from Superdominant Left Anterior Descending Artery
Coronary artery anomalies are uncommon anatomical variations that are usually detected incidentally during a coronary angiogram or computed tomography angiography. We report a case of a diabetic and hypertensive middle-aged male who presented with chest discomfort. Coronary angiography revealed no s...
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Houston Methodist DeBakey Heart & Vascular Center
2023-12-01
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| Series: | Methodist DeBakey Cardiovascular Journal |
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| Online Access: | https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1310 |
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| author | Kanhai Lalani M. Sudhakar Rao R. Padmakumar Pankti Parikh |
| author_facet | Kanhai Lalani M. Sudhakar Rao R. Padmakumar Pankti Parikh |
| author_sort | Kanhai Lalani |
| collection | DOAJ |
| description | Coronary artery anomalies are uncommon anatomical variations that are usually detected incidentally during a coronary angiogram or computed tomography angiography. We report a case of a diabetic and hypertensive middle-aged male who presented with chest discomfort. Coronary angiography revealed no signs of coronary artery disease but showed a left anterior descending artery (LAD) looping around the left ventricular apex and running through the posterior interventricular groove as a posterior descending artery (PDA) beyond the crux. The nondominant right coronary artery (RCA) and left circumflex artery (LCX) had no connection with the PDA. The patient’s diabetic and hypertensive medications were adjusted, and he remained asymptomatic after 3 months. Interventionalists should be aware of the types of coronary anomalies that may complicate diagnosis and management during percutaneous coronary intervention. |
| format | Article |
| id | doaj-art-1b7c4f5725ba4dae945f3f8bb70ced83 |
| institution | Kabale University |
| issn | 1947-6108 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Houston Methodist DeBakey Heart & Vascular Center |
| record_format | Article |
| series | Methodist DeBakey Cardiovascular Journal |
| spelling | doaj-art-1b7c4f5725ba4dae945f3f8bb70ced832025-08-20T03:47:06ZengHouston Methodist DeBakey Heart & Vascular CenterMethodist DeBakey Cardiovascular Journal1947-61082023-12-01191889110.14797/mdcvj.13101287Rare Coronary Anomaly of Posterior Descending Artery Arising from Superdominant Left Anterior Descending ArteryKanhai Lalani0https://orcid.org/0000-0001-7399-4630M. Sudhakar Rao1https://orcid.org/0000-0001-9439-3703R. Padmakumar2https://orcid.org/0000-0001-8121-3304Pankti Parikh3https://orcid.org/0000-0003-1972-7683Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, KarnatakaKasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, KarnatakaKasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, KarnatakaSt. John’s Medical College, St. John’s National Academy of Health Sciences, Bangalore, KarnatakaCoronary artery anomalies are uncommon anatomical variations that are usually detected incidentally during a coronary angiogram or computed tomography angiography. We report a case of a diabetic and hypertensive middle-aged male who presented with chest discomfort. Coronary angiography revealed no signs of coronary artery disease but showed a left anterior descending artery (LAD) looping around the left ventricular apex and running through the posterior interventricular groove as a posterior descending artery (PDA) beyond the crux. The nondominant right coronary artery (RCA) and left circumflex artery (LCX) had no connection with the PDA. The patient’s diabetic and hypertensive medications were adjusted, and he remained asymptomatic after 3 months. Interventionalists should be aware of the types of coronary anomalies that may complicate diagnosis and management during percutaneous coronary intervention.https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1310congenital coronary anomaliessuper-dominant left anterior descending arteryhyper-dominant left anterior descending artery |
| spellingShingle | Kanhai Lalani M. Sudhakar Rao R. Padmakumar Pankti Parikh Rare Coronary Anomaly of Posterior Descending Artery Arising from Superdominant Left Anterior Descending Artery Methodist DeBakey Cardiovascular Journal congenital coronary anomalies super-dominant left anterior descending artery hyper-dominant left anterior descending artery |
| title | Rare Coronary Anomaly of Posterior Descending Artery Arising from Superdominant Left Anterior Descending Artery |
| title_full | Rare Coronary Anomaly of Posterior Descending Artery Arising from Superdominant Left Anterior Descending Artery |
| title_fullStr | Rare Coronary Anomaly of Posterior Descending Artery Arising from Superdominant Left Anterior Descending Artery |
| title_full_unstemmed | Rare Coronary Anomaly of Posterior Descending Artery Arising from Superdominant Left Anterior Descending Artery |
| title_short | Rare Coronary Anomaly of Posterior Descending Artery Arising from Superdominant Left Anterior Descending Artery |
| title_sort | rare coronary anomaly of posterior descending artery arising from superdominant left anterior descending artery |
| topic | congenital coronary anomalies super-dominant left anterior descending artery hyper-dominant left anterior descending artery |
| url | https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1310 |
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