Successful primary percutaneous coronary interventions in a patient with two consecutive ST-segment elevation myocardial infarctions and dual left anterior descending artery (type IV)
Introduction. Dual left anterior descending (LAD) artery is a very rare inherited anomaly. It can be incidentally revealed during primary percutaneous coronary intervention (pPCI) and may produce difficulties in detecting and treating the culprit lesion. Case report. We presented a 52-ye...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2016-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501500130S.pdf |
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| author | Spasić Marijan Džudović Boris Rusović Siniša Jović Zoran Đurić Predrag Romanović Radoslav Đenić Nemanja Matunović Radomir Obradović Slobodan |
| author_facet | Spasić Marijan Džudović Boris Rusović Siniša Jović Zoran Đurić Predrag Romanović Radoslav Đenić Nemanja Matunović Radomir Obradović Slobodan |
| author_sort | Spasić Marijan |
| collection | DOAJ |
| description | Introduction. Dual left anterior descending (LAD) artery is a very rare
inherited anomaly. It can be incidentally revealed during primary
percutaneous coronary intervention (pPCI) and may produce difficulties in
detecting and treating the culprit lesion. Case report. We presented a
52-year-old male patient with ST-segment elevation myocardial infarction
(STEMI) of inferior wall, in whom dual LAD anomaly was revealed during pPCI:
a short LAD artery originated from the left main coronary artery and a long
LAD artery originated from the proximal part of the right coronary artery
(RCA). A bare metal stent was successfully implanted in the place of the
culprit lesion in RCA and ST-segment resolution was achieved in ECG. After
two hours, the patient was referred again to the catheter lab due to new
STEMI of anteroseptal wall. Another bare metal stent was implanted in new
infarction related artery, this time it was proximal part of the short LAD.
Conclusion. Careful and correct interpretation of ECG is very helpful in
detection and treatment of the culprit lesion in cases with dual LAD. |
| format | Article |
| id | doaj-art-8bde354d249b48c19857a50dedb7904a |
| institution | OA Journals |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-8bde354d249b48c19857a50dedb7904a2025-08-20T01:58:22ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202016-01-01731737610.2298/VSP141103130S0042-84501500130SSuccessful primary percutaneous coronary interventions in a patient with two consecutive ST-segment elevation myocardial infarctions and dual left anterior descending artery (type IV)Spasić Marijan0Džudović Boris1Rusović Siniša2Jović Zoran3Đurić Predrag4Romanović Radoslav5Đenić Nemanja6Matunović Radomir7Obradović Slobodan8Military Medical Academy, Clinic for Cardiology, BelgradeMilitary Medical Academy, Clinic for Emergency and Internal Medicine, BelgradeMilitary Medical Academy, Institute of Radiology, BelgradeMilitary Medical Academy, Clinic for Cardiology, BelgradeMilitary Medical Academy, Clinic for Cardiology, BelgradeMilitary Medical Academy, Clinic for Emergency and Internal Medicine, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeMilitary Medical Academy, Clinic for Emergency and Internal Medicine, BelgradeUniversity of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeMilitary Medical Academy, Clinic for Emergency and Internal Medicine, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeIntroduction. Dual left anterior descending (LAD) artery is a very rare inherited anomaly. It can be incidentally revealed during primary percutaneous coronary intervention (pPCI) and may produce difficulties in detecting and treating the culprit lesion. Case report. We presented a 52-year-old male patient with ST-segment elevation myocardial infarction (STEMI) of inferior wall, in whom dual LAD anomaly was revealed during pPCI: a short LAD artery originated from the left main coronary artery and a long LAD artery originated from the proximal part of the right coronary artery (RCA). A bare metal stent was successfully implanted in the place of the culprit lesion in RCA and ST-segment resolution was achieved in ECG. After two hours, the patient was referred again to the catheter lab due to new STEMI of anteroseptal wall. Another bare metal stent was implanted in new infarction related artery, this time it was proximal part of the short LAD. Conclusion. Careful and correct interpretation of ECG is very helpful in detection and treatment of the culprit lesion in cases with dual LAD.http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501500130S.pdfcoronary vesselscongenital abnormalitiesmyocardial infarctionstentsreoperationelectrocardiography |
| spellingShingle | Spasić Marijan Džudović Boris Rusović Siniša Jović Zoran Đurić Predrag Romanović Radoslav Đenić Nemanja Matunović Radomir Obradović Slobodan Successful primary percutaneous coronary interventions in a patient with two consecutive ST-segment elevation myocardial infarctions and dual left anterior descending artery (type IV) Vojnosanitetski Pregled coronary vessels congenital abnormalities myocardial infarction stents reoperation electrocardiography |
| title | Successful primary percutaneous coronary interventions in a patient with two consecutive ST-segment elevation myocardial infarctions and dual left anterior descending artery (type IV) |
| title_full | Successful primary percutaneous coronary interventions in a patient with two consecutive ST-segment elevation myocardial infarctions and dual left anterior descending artery (type IV) |
| title_fullStr | Successful primary percutaneous coronary interventions in a patient with two consecutive ST-segment elevation myocardial infarctions and dual left anterior descending artery (type IV) |
| title_full_unstemmed | Successful primary percutaneous coronary interventions in a patient with two consecutive ST-segment elevation myocardial infarctions and dual left anterior descending artery (type IV) |
| title_short | Successful primary percutaneous coronary interventions in a patient with two consecutive ST-segment elevation myocardial infarctions and dual left anterior descending artery (type IV) |
| title_sort | successful primary percutaneous coronary interventions in a patient with two consecutive st segment elevation myocardial infarctions and dual left anterior descending artery type iv |
| topic | coronary vessels congenital abnormalities myocardial infarction stents reoperation electrocardiography |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501500130S.pdf |
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