scholarly journals An Anomalous Left Anterior Descending Artery

2010 ◽  
Vol 4 (1) ◽  
pp. 34-36
Author(s):  
M Maksumul Haq ◽  
M Mahboob Mansur ◽  
Syed Dawood Md Taimur
Keyword(s):  
Coronary Artery ◽  
Sudden Death ◽  
Diagnostic Testing ◽  
Coronary Angiogram ◽  
Cardiac Anomalies ◽  
Non Invasive ◽  
Left Anterior Descending Artery ◽  
Coronary Artery Fistulas

Coronary artery fistulas can go undetected as they tend to remain clinically silent. Larger fistulas can end up with sudden death, ischemia, endocarditis or CCF. However, these are detected incidentally during non-invasive or invasive diagnostic testing for unrelated symptoms. This report describes such a case in a 56 year old male while undergoing a coronary angiogram following an anteroseptal infarction three weeks prior to the procedure. The fistula arose from the proximal left LAD and was seen in all views. It is important for cardiologists to remember about the possibility of such uncommon possibilities.Ibrahim Med. Coll. J. 2010; 4(1): 34-36Indexing words: Cardiac anomalies; angiogram; fistula.

scholarly journals Type 4 Dual Left Anterior Descending Artery: A Very Rare Coronary Anomaly Circulation

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Marcos Danillo Peixoto Oliveira ◽  
Pedro H. M. Craveiro de Melo ◽  
Antonio Esteves Filho ◽  
Luiz J. Kajita ◽  
Expedito E. Ribeiro ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Sudden Death ◽  
Coronary Anomaly ◽  
Coronary Angiogram ◽  
Coronary Artery Anomalies ◽  
Young Athletes ◽  
Recent Onset ◽  
Left Anterior Descending Artery ◽  
Exertional Angina

Coronary artery anomalies are congenital changes in their origin, course, and/or structure. They are the second most frequent cause of sudden death in young athletes. Dual LAD artery is a rare coronary anomaly. We present the case of a 44-year-old man with recent onset exertional angina and documented ischemia whose coronary angiogram and computed tomography (CT) showed type 4 dual LAD artery, the rarest and most interesting variant.

Sudden death in a patient with multiple left anterior descending coronary artery fistulas to the left ventricle

2008 ◽  
Vol 125 (3) ◽  
pp. e37-e39 ◽  
Author(s):  
Inigo Lozano ◽  
Alberto Batalla ◽  
Jose Rubin ◽  
Pablo Avanzas ◽  
Maria Martin ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Sudden Death ◽  
Coronary Artery Fistulas

scholarly journals Coronary Fistula Between Left Anterior Descending Artery (LAD) and Pulmonary Artery (PA) Leading to Sudden Cardiac Death: Case Report with Literature Review

2020 ◽  
Vol 16 (2) ◽  
pp. 98-102 ◽  
Author(s):  
Ayman Battisha ◽  
Bader Madoukh ◽  
Omar Sheikh ◽  
Ahmed Altibi ◽  
Shakil Sheikh ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Pulmonary Artery ◽  
Cardiac Death ◽  
Left Anterior Descending Artery ◽  
Death Case ◽  
Appropriate Treatment ◽  
Major Vessel ◽  
Coronary Artery Fistulas ◽  
Ongoing Evaluation

Coronary Artery Fistulas (CAF) are inappropriate connections between a coronary artery and a major vessel or a cardiac chamber. These fistulas may or may not present with symptoms, but they need to be detected as early as possible in order to decide the most appropriate treatment methodology (i.e. surgery vs. conservative management). We report the case of a 67-year-old female with no modifiable cardiovascular risk factors who had an unwitnessed sudden death at home during her ongoing evaluation of a fistula detected incidentally between the Left Anterior Descending Artery (LAD) and the Pulmonary Artery (PA). This case highlights that early diagnosis and treatment of symptomatic CAF are crucial to minimize the risk of sudden cardiac death. Although the symptomatic fistula of LAD to PA has been reported in the literature multiple times, it has been rarely reported that this fistula can result in sudden cardiac death.

scholarly journals CORONARY ARTERY FISTULA IN ELDERLY PATIENT WITH ACUTE CORONARY SYNDROME: A CASE REPORT

2021 ◽  
Vol 54 (2) ◽  
pp. 198-200
Author(s):  
Quan Vo ◽  
Hong Vu ◽  
Thanh Dinh
Keyword(s):  
Coronary Artery ◽  
Main Pulmonary Artery ◽  
Coronary Artery Fistula ◽  
Primary Treatment ◽  
Coronary Angiogram ◽  
Cardiac Intervention ◽  
Coronary Syndrome ◽  
Coronary Artery Fistulas ◽  
Percutaneous Catheterization ◽  
Exercise Induced

Coronary artery fistulas are congenital or acquired abnormality connections between coronary arteries and other structures. Most patients with coronary fistulas are asymptomatic. An 80-year-old man complained of exercise-induced chest pain. A coronary angiogram on PCI and CTA confirmed stenosis on LAD and a large fistula between the coronary artery and the anterior side of the main pulmonary artery. A transcatheter procedure was successfully conducted. In patients with symptomatic fistula or cases with a complication, cardiac intervention is recommended as the primary treatment. Percutaneous catheterization is the preferred treatment.

A Giant Circumflex Coronary Artery Aneurysm with a Fistula into the Coronary Sinus: Case Report

2015 ◽  
Vol 18 (4) ◽  
pp. 151
Author(s):  
Tolga Demir ◽  
Mazlum Sahin ◽  
Emre Gok ◽  
Hale Bolgi Demir ◽  
Cabir Gulmaliev ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Coronary Sinus ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Coronary Aneurysm ◽  
Rare Clinical Entity ◽  
Circumflex Coronary Artery ◽  
Cardiac Anomalies ◽  
Coronary Artery Fistulas

Coronary artery fistulas are a rare clinical entity in cardiac anomalies, and in a significant portion of patients, the fistulas are accompanied by coronary aneurysm formation. In this article, we present a giant circumflex coronary artery aneurysm with a fistula into the coronary sinus.

scholarly journals Reversible Pulmonary Hypertension due to Combined Fistula between the Left Anterior Descending Artery (LAD) and Pulmonary Artery and Severe Stenosis of the LAD

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
N. Schizas ◽  
V. Patris ◽  
S. Giannaraki ◽  
G. Ifanti ◽  
I. Anagnostopoulos ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Severe Pulmonary Hypertension ◽  
Severe Stenosis ◽  
Left Anterior Descending Artery ◽  
Threatening Condition ◽  
Coronary Artery Fistulas ◽  
Life Threatening ◽  
Development And Management

Coronary artery fistulas are usually diagnosed accidentally without the presence of any symptoms. On the other hand, the combination of fistula between the left anterior descending artery (LAD) and pulmonary artery (PA) and severe stenosis of the LAD, as in this case report, is a potential life-threatening condition. A 72-year-old patient was treated surgically after being diagnosed with fistula between the LAD and PA, severe stenosis of the LAD, and severe pulmonary hypertension. In following paragraphs, the case of this man and significant issues regarding the development and management of coronary artery fistulas are analyzed.

scholarly journals Angiographic Significance of ST Depression in Anterior Leads in Acute Inferior ST Elevation Myocardial Infarction.

2021 ◽  
Vol 18 (2) ◽  
pp. 7-10
Author(s):  
Rabindra Simkhada ◽  
Barkadin Khan ◽  
Sanjay Singh KC ◽  
Arjun Budhathoki ◽  
Krishna Chandra Adhikari ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Linear Regression Analysis ◽  
Coronary Angiogram ◽  
Inferior Myocardial Infarction ◽  
Cross Sectional ◽  
Left Anterior Descending Artery ◽  
St Depression ◽  
St Elevation ◽  
Acute Inferior Myocardial Infarction

Background and aims: Electrocardiogram of acute ST elevation inferior myocardial infarction can show concomitant ST depression in anterior leads. We aimed to see its significance on coronary angiogram. Methods: Cross sectional study conducted in Department of Cardiology of Shahid Gangalal National Heart Centre from March 2021 to June 2021. Total of 64 patients of acute inferior myocardial infarction were included consecutively. Electrocardiogram were analyzed for the presence of ST depression in anterior leads (V1-V6). Coronary angiogram were obtained. Linear regression analysis was applied to see correlations. Results: Thirty-four (53.12%) participants had significant ST depression in anterior leads. Their mean age was 64.53±11.67 years. Twenty-two (64.70%) were male. Out of them, 13 (38.23%) were hypertensive, 9 (26.47%) were smoker and 7 (20.58%) were diabetic. Among 30 (46.88%) participants without ST depression, mean age was 56.73±13.31 years and 21 (70%) were male. Out of them, 11 (36.66%) were hypertensive, 12 (40%) were smoker and 11 (33.66%) were diabetic. Culprit vessel was right coronary artery in 22 (64.70%) of those with ST depression and 22 (73.33%) of those without ST depression. Significant left anterior descending artery lesion was seen in 19 (55.88%) of those with ST depression and 3 (10%) of those without depression. Anterior ST depression showed positive correlation with left anterior descending artery lesion. Conclusion: ST depression in anterior leads in acute inferior myocardial infarction can be due to presence of concomitant left anterior descending coronary artery disease.

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