Anomalous origin of left main coronary artery appears like a "native bypass graft" anastomosed to the left anterior descending artery

2011 ◽  
Vol 7 (5) ◽  
pp. 647-647
Author(s):  
Ahmet Karabulut
2013 ◽  
Vol 6 ◽  
pp. CCRep.S11542
Author(s):  
Antoine Kossaify ◽  
Gilles Grollier

We report on an octogenarian patient presenting with an acute coronary syndrome due to significant left main coronary artery disease and severe ostial stenosis of the left anterior descending artery disease. Emergent bypass graft performed with “beating heart” consisted of left internal mammary graft to the mid left anterior descending artery with an “over-stent” anastomosis. The immediate post-operative phase was simple, however the patient presented on post-operative day 8 with extensive anterior myocardial infarction and cardiogenic shock. Emergent coronary angiogram showed subocclusive anastomotic stenosis. Percutaneous coronary intervention was performed on left main, proximal left anterior descending, and proximal circumflex arteries. Subsequently, the patient restored a satisfactory hemodynamic condition. A focus on the importance of decision for management of left main disease especially in octogenarian is presented, along with a review of the pertinent literature.


2018 ◽  
Vol 11 (24) ◽  
pp. e203-e205
Author(s):  
Bharat Marwaha ◽  
Owais Idris ◽  
Mobasser Mahmood ◽  
Archana Gundabolu ◽  
Syed Sohail Ali ◽  
...  

1995 ◽  
Vol 8 (4) ◽  
pp. 359-363 ◽  
Author(s):  
ASHOK SETH ◽  
AMBIKA BHASKARAN ◽  
JAY ANT GUPTA ◽  
MADAN LAL BHATIA

2007 ◽  
Vol 114 (1) ◽  
pp. 137-138 ◽  
Author(s):  
Holger M. Nef ◽  
Helge Möllmann ◽  
Susanne Möllmann ◽  
Thorsten Dill ◽  
Christian W. Hamm ◽  
...  

2015 ◽  
Vol 42 (3) ◽  
pp. 243-245 ◽  
Author(s):  
Omer Yildiz ◽  
Kanber Ocal Karabay ◽  
Canan Akman ◽  
Vedat Aytekin

We report the case of a 51-year-old woman who presented with stable angina pectoris and Canadian Cardiovascular Society class II functional capacity. An electrocardiogram during a treadmill exercise test showed substantial ST-segment depression in the inferolateral leads. Coronary angiograms revealed an anomalous origin of the left main coronary artery from the opposite sinus of Valsalva and an interarterial course between the ascending aorta and pulmonary artery. Although this phenomenon is dangerous, the patient refused further examination. We discuss the diagnosis and treatment of patients who have an anomalous origin of a coronary artery from the opposite sinus of Valsalva.


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