Abstract
Dual left anterior descending artery (or dual anterior interventricular artery, LAD) is a rare coronary artery anomaly. Dual but normally originated LAD has been usually reported to have no clinical significance. In this case report, we present a case of 75 year old male with anginal symptoms in whom coronary arteriography showed normally originated dual LAD with two branches of almost equal caliber. The course of both branches were supplying the usual territory of LAD and both of the branches had significant proximal stenosis. The patient underwent a coronary artery bypass grafting operation and both branches were grafted. This normally originated dual LAD case may be considered to be interesting, because dual LAD branches were symmetrically involved with the atherosclerotic process in their proximal segments. In addition, this condition was demonstrated intraoperatively and the two branches were revascularized with bypass grafting.
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References
Felmeden D, Singh SP, Lip GY. Anomalous coronary arteries of aortic origin. Int J Clin Pract 2000; 54(6): 390–394.
Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990; 21(1): 28–40.
Sajja LR, Farooqi A, Shaik MS, et al. Dual left anterior descending coronary artery: surgical revascularization in 4 patients. Tex Heart Inst J 2000; 27(3): 292–296.
Cieslinski G, Rapprich B, Kober G. Coronary anomalies: incidence and importance. Clin Cardiol 1993: 16(10): 711–715.
Zeppili P, dello Russo A, Santini C, et al. In vivo detection of coronary artery anomalies in asymptomatic athletes by echocardiographic screenin. Chest 1998; 114(1): 89–93.
Oral D, Berkalp B, Pamir G, Ömürlü K, Erol Ç. Significance of dual left anterior descending coronary artery in interventional cardiology. A case report. Angiology 1996; 47(8): 825–829.
Spindola-Franco H, Grose R, Solomon N. Dual left anterior descending coronary artery: angiographic description of important variants and surgical implications. Am Heart J 1983; 105(3): 445–455.
Baue AE, Geha AS, Hammond GL, Laks H, Naunheim KS (eds). In Glenn's Thoracic and Cardiovascular Surgery. 6th ed., vol. II. USA, 1996; 2062–2063.
Bastos Ld, Arie S, Martins JF, et al. Double origin of anterior descending artery-from the left and right coronary arteries-associated with anomalous origin of the circumflex artery. Arq Bras Cardiol 1996; 67(6): 407–409.
Voudris V, Salachas A, Saounotsou M, et al. Double left anterior descending artery originating from the left and right coronary artery: a rare coronary artery anomaly. Cathet Cardiovasc Diagn 1993; 30(1): 45–47.
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Yavuz, T., Nazlı, C., Öcal, A. et al. Surgically revascularized dual LAD. Int J Cardiovasc Imaging 20, 71–74 (2004). https://doi.org/10.1023/B:CAIM.0000013153.94737.9b
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DOI: https://doi.org/10.1023/B:CAIM.0000013153.94737.9b