Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Anomalous Separate Origin of Left Anterior Descending Coronary Artery: Presented as Acute Anterior Myocardial Infarction

  • Hong, Man Yong (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital) ;
  • Shin, Dae-Hee (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital) ;
  • Kwon, Jang Hoon (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital) ;
  • Chang, Woo-Sung (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital) ;
  • Choi, Kyu Un (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital) ;
  • Song, Yun A (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital) ;
  • Oh, Kwang Hoon (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital) ;
  • Lee, Je Hoon (Department of Internal Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital)
  • Published : 2013.06.30
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Abstract

Coronary artery anomalies are rare presentations in primary percutaneous coronary interventions of acute myocardial infarction. Herein, we report the case of a 59-year-old man with acute anterior myocardial infarction who had anomalous separate origin of left anterior descending artery (LAD) and left circumflex artery (LCX) from the left coronary aortic sinus. Coronary angiography showed a normal right coronary artery and LCX, but no visualization of the LAD. After several unsuccessful attempts to cannulate the LAD, we found the LAD ostium located by the side of the LCX ostium. There was total occlusion at proxymal LAD. Coronary computed tomography angiography demonstrated the precise, separate origin of LAD and LCX from the left coronary aortic sinus.

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References

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Cited by

  1. (An anomalous origin and course of left anterior descending artery) vol.62, pp.5, 2020, https://doi.org/10.33678/cor.2020.009