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Systolic Compression of Anomalous Large Septal Branch: an Unusual Cause of Myocardial Ischemia

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Abstract

Intramural course of coronary arteries is a well known phenomenon on autopsy. On angiography, however, it is usually seen in relation to the left anterior descending artery. Clinically, this entity may be associated with myocardial ischemia, infarction or sudden cardiac death. In this case, we report an unusual angiographic finding of first septal branch of left anterior descending artery. We present the case of a 43-year-old man with clinical and exercise ECG evidence of ischemia, whose primary abnormality is systolic compression of a long segment of anomalous large first septal branch.

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Abbreviations

S1:

first septal perforator branch of left anterior descending artery

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Authors and Affiliations

  1. Department of Cardiology, Faculty of Medicine, Harran University, PK 112, Sanliurfa, Turkey

    Remzi Yilmaz & Recep Demirbag

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  1. Remzi Yilmaz
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  2. Recep Demirbag
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Correspondence to Remzi Yilmaz.

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Yilmaz, R., Demirbag, R. Systolic Compression of Anomalous Large Septal Branch: an Unusual Cause of Myocardial Ischemia. Int J Cardiovasc Imaging 21, 487–490 (2005). https://doi.org/10.1007/s10554-005-0192-8

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  • DOI: https://doi.org/10.1007/s10554-005-0192-8

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