An unusual combination of coronary arterial and systemic venous anomalies-clinical implications.
A 57-year-old male underwent coronary angiography for exertional angina which showed two left anterior descending coronary arteries (LAD)--a short LAD from the left coronary sinus terminating in the proximal Anterior Inter-Ventricular Sulcus (AIVS), a long LAD from the proximal right coronary artery entering the distal AIVS and an anomalous left circumflex artery from the right coronary sinus. In addition, he also had absent right superior vena cava and a persistent left superior vena cava entering the coronary sinus.
Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu. India. drvijay1977@yahoo.com
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Vijayakumar
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Kurian
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Ravikumar
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Mullasari Ajit
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Ulhas Pandurangi
D001165:Arteriovenous Malformations / Q000000981:diagnostic imaging* / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed