AS-041 Different Target Vessel May Have Different Prognosis Following Chronic Total Occlusion Intervention: Comparisons among Left Anterior Descending Artery versus Left Circumflex Artery versus Right Coronary Artery Lesions

2012 ◽  
Vol 109 (7) ◽  
pp. S23
Author(s):  
Seung-Woon Rha ◽  
Byoung Geol Choi ◽  
Se Yeon Choi ◽  
Amro Elnagar ◽  
Sung Il Im ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Chronic Total Occlusion ◽  
Target Vessel ◽  
Coronary Artery Lesions ◽  
Circumflex Artery ◽  
Total Occlusion ◽  
Left Circumflex Artery ◽  
Left Anterior Descending Artery

scholarly journals Superdominant Right Coronary Artery with Absent Left Coronary Artery and Left Circumflex Artery with Anomalous Left Anterior Descending Artery

2022 ◽  
Author(s):  
Bhavneet Singh ◽  
Rekha Gupta ◽  
Sreenivas Reddy
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Sinus ◽  
Left Coronary Artery ◽  
Therapeutic Modality ◽  
Single Coronary Artery ◽  
Circumflex Artery ◽  
Left Circumflex Artery ◽  
Single Vessel ◽  
Left Anterior Descending Artery

AbstractThe occurrence of super-dominant “single coronary artery” is an extremely rare and seldom reported phenomenon. The heart is dependent on a single vessel which makes its occlusion, if present, catastrophic. Here, the authors present an extremely rare combination of superdominant right coronary artery coexisting with absent left coronary artery and left circumflex artery with abnormal origin of left anterior descending artery from right coronary sinus. Precise morphological and physiological knowledge and evaluation of these anomalies is a must for opting the best available therapeutic modality and better prognosis.

scholarly journals Dissection of ascending aorta and left main coronary artery after routine percutaneous coronary intervention: a case report

2019 ◽  
Vol 3 (Issue 4) ◽  
pp. 184
Author(s):  
B.S. Daniyarov ◽  
I.Z. Abdyldaev ◽  
S.D. Chevgun ◽  
K.N. Nurbekov ◽  
D. Ch. Cholponbaev ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Artery Bypass ◽  
Ascending Aorta ◽  
Left Main ◽  
Circumflex Artery ◽  
Total Occlusion ◽  
Catheterization Laboratory ◽  
Left Circumflex Artery ◽  
Left Anterior Descending Artery

We describe a case of guiding catheter induced dissection of left main coronary artery and ascending aorta. A patient with unstable angina and two-vessel disease underwent drug eluting stents implantation in proximal left anterior descending artery and distal left circumflex artery. Six hours after the procedure of acute occlusive dissection of left main coronary artery with spreading to ascending aorta developed, it was required to do stenting of the left anterior descending and left main coronary arteries and balloon dilatation of left circumflex artery. Despite the initial success of the repeated intervention, total occlusion of left main coronary artery occurred with unsuccessful reopening in catheterization laboratory. Emergency coronary artery bypass surgery was carried out. However, despite the patent anastomosis from left mammary to left anterior descending artery, the patient died.

scholarly journals Successful Primary PCI in a Patient with Acute Myocardial Infarction and Cardiogenic Shock with Super-dominant Right Coronary Artery and Absent Left Circumflex Artery

2019 ◽  
pp. 1-5
Author(s):  
Gurkirat Singh ◽  
Mahesh Bodkhe ◽  
Akshat Jain ◽  
Aditya Gupta ◽  
Narender Omprakash Bansal
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Right Coronary Artery ◽  
Anterior Wall ◽  
Circumflex Artery ◽  
Left Circumflex Artery ◽  
Left Anterior Descending Artery ◽  
Course Of Action ◽  
Coronary Cusp

Super-dominant right coronary artery and the absent left circumflex artery is a rare congenital coronary anomaly, with only a few cases reported in the literature. Left anterior descending artery arises directly from the left anterior coronary cusp. Rare coronary anomalies are sometimes encountered during primary percutaneous interventions, which may lead to changes in the course of action. We report a case of a 38-year-old patient admitted with acute anterior wall myocardial infarction and cardiogenic shock. Coronary angiography revealed super-dominant right coronary artery and absent left circumflex artery. There was thrombotic occlusion of the proximal left anterior descending artery. The patient underwent successful primary percutaneous intervention of the left anterior descending artery with a good result, was discharged after 5 days. Our case also shows the importance of taking coronary angiogram of the contralateral artery first, before taking the shoot of the infarct-related artery.

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