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A lotus root-like appearance in both the left anterior descending and right coronary arteries

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Abstract

A 60-year-old man was referred to our hospital because of dyspnea on exertion. He was diagnosed with heart failure due to an old myocardial infarction. Myocardial stress perfusion scintigraphy revealed inducible myocardial ischemia. Coronary angiography revealed hazy slit lesions in both the left anterior descending (LAD) and right coronary arteries (RCA). We first performed percutaneous coronary intervention (PCI) on the LAD lesion. Subsequently, we performed PCI for the RCA lesion using multiple imaging modalities. We observed a lotus root-like appearance in both the LAD and RCA, and PCI was successful for both vessels. We describe this rare case in detail.

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Conflict of interest

No conflict of interest.

Ethical standards

The patient gave his informed consent prior to each examination or therapeutic procedure in accordance with the standard of our institutional ethics committee. In addition, the academic use of his clinical data was allowed in the form of written informed consent.

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Correspondence to Eiji Taguchi.

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Kadowaki, H., Taguchi, E., Kotono, Y. et al. A lotus root-like appearance in both the left anterior descending and right coronary arteries. Heart Vessels 31, 124–128 (2016). https://doi.org/10.1007/s00380-014-0567-7

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  • DOI: https://doi.org/10.1007/s00380-014-0567-7

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