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A very rare interarterial communication: total occlusion of right coronary artery with antegrade collateral supply from left circumflex artery through conus branch

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Abstract

Purpose

The purpose of the present case report is to describe an extremely rare and unusual coronary interarterial communication.

Methods

A 65-year-old female patient admitted with acute coronary syndrome underwent a coronary angiography performed with Judkins technique to obtain standard angiographic views.

Results

We have demonstrated a very rare interarterial communication traversing an unusual retroaortic path between the body of left circumflex artery and the conus branch of the right coronary artery.

Conclusion

Coronary interarterial communications are rarely encountered; however, may fulfill important tasks in the coronary circulation. Therefore, invasive cardiologists and cardiovascular surgeons should be aware of their presence.

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Data availability

Datasets regarding the current case report shall be available upon reasonable requests.

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Funding

The authors declare that there is no funding for this manuscript.

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Authors and Affiliations

Authors

Contributions

AY: Data collection. ES: Data collection and witing the manuscript.

Corresponding author

Correspondence to Erdoğan Sökmen.

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Written informed consent was obtained from the patient for this case report.

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Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 Video 1. Left anterior oblique view with cranial angulation depicting a true arterial ring between the conus artery and the body of left circumflex artery (MP4 1042 KB)

Supplementary file2 Video 2. Right anterior oblique view with caudal angulation showing connection of the communicating artery with the body of the left circumflex artery (MP4 522 KB)

Supplementary file3 Video 3. Spider view showing the interarterial communication supplying antegrade collateral flow from the left circumflex artery to the right coronary artery through the conus artery (MP4 328 KB)

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Yıldırım, A., Sökmen, E. A very rare interarterial communication: total occlusion of right coronary artery with antegrade collateral supply from left circumflex artery through conus branch. Surg Radiol Anat 45, 1027–1030 (2023). https://doi.org/10.1007/s00276-023-03173-0

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  • DOI: https://doi.org/10.1007/s00276-023-03173-0

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