Severe Stenosis of an Anomalous Circumflex Artery Mimicking a Chronic Total Occlusion
The prevalence of anomalous circumflex coronary arteries is rare. Identifying the presence of an anomalous coronary is quite easy when there is no severe stenosis. However, in the presence of severe stenosis, there is limited anterograde flow, which makes it challenging to visualize the course of th...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2018/8634275 |
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| _version_ | 1850222065481678848 |
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| author | George Mawardi Anbukarasi Maran |
| author_facet | George Mawardi Anbukarasi Maran |
| author_sort | George Mawardi |
| collection | DOAJ |
| description | The prevalence of anomalous circumflex coronary arteries is rare. Identifying the presence of an anomalous coronary is quite easy when there is no severe stenosis. However, in the presence of severe stenosis, there is limited anterograde flow, which makes it challenging to visualize the course of the stenotic artery, and it can be assumed to be a chronic total occlusion (CTO). This case demonstrates how the anomalous circumflex artery with severe stenosis masqueraded as a CTO and the patient was treated medically for several years, despite continued symptoms. The retrograde filling of an anomalous circumflex has a specific angiographic pattern which should be recognized. This case is an excellent illustration of the said angiographic pattern. |
| format | Article |
| id | doaj-art-6e6e6a31cbca4e24a1ee0670bf8a24ec |
| institution | OA Journals |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-6e6e6a31cbca4e24a1ee0670bf8a24ec2025-08-20T02:06:28ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/86342758634275Severe Stenosis of an Anomalous Circumflex Artery Mimicking a Chronic Total OcclusionGeorge Mawardi0Anbukarasi Maran1Coronary CTO Program, Medical University of South Carolina, 30 Courtenay Street, MSC 592, Charleston, SC 29425, USACoronary CTO Program, Medical University of South Carolina, 30 Courtenay Street, MSC 592, Charleston, SC 29425, USAThe prevalence of anomalous circumflex coronary arteries is rare. Identifying the presence of an anomalous coronary is quite easy when there is no severe stenosis. However, in the presence of severe stenosis, there is limited anterograde flow, which makes it challenging to visualize the course of the stenotic artery, and it can be assumed to be a chronic total occlusion (CTO). This case demonstrates how the anomalous circumflex artery with severe stenosis masqueraded as a CTO and the patient was treated medically for several years, despite continued symptoms. The retrograde filling of an anomalous circumflex has a specific angiographic pattern which should be recognized. This case is an excellent illustration of the said angiographic pattern.http://dx.doi.org/10.1155/2018/8634275 |
| spellingShingle | George Mawardi Anbukarasi Maran Severe Stenosis of an Anomalous Circumflex Artery Mimicking a Chronic Total Occlusion Case Reports in Cardiology |
| title | Severe Stenosis of an Anomalous Circumflex Artery Mimicking a Chronic Total Occlusion |
| title_full | Severe Stenosis of an Anomalous Circumflex Artery Mimicking a Chronic Total Occlusion |
| title_fullStr | Severe Stenosis of an Anomalous Circumflex Artery Mimicking a Chronic Total Occlusion |
| title_full_unstemmed | Severe Stenosis of an Anomalous Circumflex Artery Mimicking a Chronic Total Occlusion |
| title_short | Severe Stenosis of an Anomalous Circumflex Artery Mimicking a Chronic Total Occlusion |
| title_sort | severe stenosis of an anomalous circumflex artery mimicking a chronic total occlusion |
| url | http://dx.doi.org/10.1155/2018/8634275 |
| work_keys_str_mv | AT georgemawardi severestenosisofananomalouscircumflexarterymimickingachronictotalocclusion AT anbukarasimaran severestenosisofananomalouscircumflexarterymimickingachronictotalocclusion |