Double left anterior descending artery arising from right and left sinus of Valsalva in patient with acute coronary syndrome

Michiaki Matsumoto; Katsuaki Yokoyama; Takayuki Yahagi; Kimio Kikushima; Kazuhiro Watanabe; Shigemasa Tani; Takeo Anazawa; Hirohumi Kawamata; Ken Nagao; Atsushi Hirayama

doi:10.1016/j.ijcard.2009.03.049

Double left anterior descending artery arising from right and left sinus of Valsalva in patient with acute coronary syndrome

Int J Cardiol. 2011 May 19;149(1):e40-2. doi: 10.1016/j.ijcard.2009.03.049. Epub 2009 Jun 24.

Authors

Michiaki Matsumoto, Katsuaki Yokoyama, Takayuki Yahagi, Kimio Kikushima, Kazuhiro Watanabe, Shigemasa Tani, Takeo Anazawa, Hirohumi Kawamata, Ken Nagao, Atsushi Hirayama

PMID: 19556019
DOI: 10.1016/j.ijcard.2009.03.049

Abstract

An aberrant origin of left anterior descending artery (LAD) from right and left sinus of Valsalva is a rare anomaly but clinically important. Coronary angiography (CAG) was performed in patient with acute coronary syndrome, and revealed severe stenosis at the mid of LAD. The distal of LAD was likely to be a total occlusion. It was proved to be a double left anterior descending artery arising from right and left sinus of Valsalva by multidetector-row computed tomography (MDCT) and following CAG. We describe here congenital coronary anomaly case which would be misleading as a total occlusion.

Publication types

Case Reports
Letter

MeSH terms

Acute Coronary Syndrome / diagnostic imaging*
Aged
Coronary Angiography*
Coronary Vessel Anomalies / diagnostic imaging*
Humans
Male
Sinus of Valsalva / abnormalities*
Sinus of Valsalva / diagnostic imaging*