title: Surgically revascularized dual LAD.
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.
authors.affiliation: Department of Cardiovascular Surgery, Faculty of Medicine, University of Süleyman Demirel, Isparta, Turkey. turhan.kvc@doctor.com
authors.forename: Turhan
authors.initials: T
authors.lastname: Yavuz
authors.forename: Cem
authors.initials: C
authors.lastname: Nazli
authors.forename: Ahmet
authors.initials: A
authors.lastname: Ocal
authors.forename: Erdogan
authors.initials: E
authors.lastname: Ibrisim
authors.forename: Ali
authors.initials: A
authors.lastname: Kutsal
mesh_terms: D000368:Aged; D000787:Angina Pectoris / Q000209:etiology / Q000503:physiopathology; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D009204:Myocardial Revascularization / Q000379:methods*; D035583:Rare Diseases; D016312:Treatment Refusal