title: A lotus root-like appearance in both the left anterior descending and right coronary arteries.
abstract: A 60-year-old man was referred to our hospital because of dyspnea on exertion. He was diagnosed with heart failure due to an old myocardial infarction. Myocardial stress perfusion scintigraphy revealed inducible myocardial ischemia. Coronary angiography revealed hazy slit lesions in both the left anterior descending (LAD) and right coronary arteries (RCA). We first performed percutaneous coronary intervention (PCI) on the LAD lesion. Subsequently, we performed PCI for the RCA lesion using multiple imaging modalities. We observed a lotus root-like appearance in both the LAD and RCA, and PCI was successful for both vessels. We describe this rare case in detail.
authors.affiliation: Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, 5-3-1 Chikami, Minami-Ku, Kumamoto, 861-4193, Japan.
authors.forename: Hiromu
authors.initials: H
authors.lastname: Kadowaki
authors.affiliation: Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, 5-3-1 Chikami, Minami-Ku, Kumamoto, 861-4193, Japan. eiji-taguchi@saiseikaikumamoto.jp.
authors.forename: Eiji
authors.initials: E
authors.lastname: Taguchi
authors.affiliation: Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, 5-3-1 Chikami, Minami-Ku, Kumamoto, 861-4193, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kotono
authors.affiliation: Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, 5-3-1 Chikami, Minami-Ku, Kumamoto, 861-4193, Japan.
authors.forename: Hiroto
authors.initials: H
authors.lastname: Suzuyama
authors.affiliation: Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, 5-3-1 Chikami, Minami-Ku, Kumamoto, 861-4193, Japan.
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Yoshida
authors.affiliation: Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, 5-3-1 Chikami, Minami-Ku, Kumamoto, 861-4193, Japan.
authors.forename: Shinzo
authors.initials: S
authors.lastname: Miyamoto
authors.affiliation: Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, 5-3-1 Chikami, Minami-Ku, Kumamoto, 861-4193, Japan.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Sakamoto
authors.affiliation: Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, 5-3-1 Chikami, Minami-Ku, Kumamoto, 861-4193, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Nishigami
authors.affiliation: Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, 5-3-1 Chikami, Minami-Ku, Kumamoto, 861-4193, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Nakao
mesh_terms: D017023:Coronary Angiography; D003331:Coronary Vessels / Q000473:pathology* / Q000601:surgery*; D006333:Heart Failure / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D062645:Percutaneous Coronary Intervention; D041623:Tomography, Optical Coherence; D018084:Ultrasonography, Interventional
keywords: Functional imaging; Lotus root-like appearance; Multiple coronary arteries