title: Providing insights into atherosclerosis: A case of multivessel coronary artery disease with an anomalous straightforward vessel spared from atherosclerosis.
abstract: Atherosclerotic plaques tend to involve arterial localizations in which blood flow is not laminar due to arterial bends and bifurcations. A 49-year-old man was admitted to hospital with breathlessness and was subsequently diagnosed with left ventricular failure. Coronary angiography revealed three-vessel coronary artery disease and an anomalous extra left anterior descending artery taking off from the right sinus of Valsalva and spared from atherosclerosis. The absence of side branches and the relative lack of bends in arterial geometry were considered to be the cause of resistance to atherosclerosis. The present case identifies local flow conditions as an important factor determining the genesis of atherosclerosis in arterial segments.
authors.affiliation: Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
authors.forename: Yiğit
authors.initials: Y
authors.lastname: Canga
authors.forename: Tolga Sinan
authors.initials: TS
authors.lastname: Güvenç
authors.forename: Erkan
authors.initials: E
authors.lastname: Ilhan
authors.forename: Seçkin
authors.initials: S
authors.lastname: Satılmış
authors.forename: Servet
authors.initials: S
authors.lastname: Altay
authors.forename: Mehmet Baran
authors.initials: MB
authors.lastname: Karataş
authors.forename: Gündüz
authors.initials: G
authors.lastname: Durmuş
authors.forename: Hakan
authors.initials: H
authors.lastname: Hasdemir