A Combination of Two Rare Coronary Anomalies Makes It Even Rarer: Right Sided Single Coronary Artery with Dual Left Anterior Descending Artery.
An 82-year-old female with history of hyperlipidemia and hypertension presented to the clinic with chief complaint of nonradiating chest tightness accompanied by exertional dyspnea. Cardiac catheterization showed the absence of left coronary system; the entire coronary system originated from the right aortic sinus as a common trunk which then gave off the right coronary artery and the left main coronary artery. Cardiac catheterization demonstrated also another rare coronary anomaly: dual left anterior descending artery. Patient underwent percutaneous coronary intervention and subsequent multidetector computed tomography angiography confirmed the above angiography findings. Patient was subsequently discharged home on double antiplatelet therapy with aspirin and clopidogrel and has been asymptomatic since then.
Department of Medicine, HSHS Saint Mary's Hospital, Decatur, IL 62521, USA.
Aram
0000-0002-3341-3827
A
Barbaryan
Department of Cardiology, HSHS Saint Mary's Hospital, Decatur, IL 62521, USA.
Theodore
T
Addai
Department of Cardiology, HSHS Saint Mary's Hospital, Decatur, IL 62521, USA.
Monahar
M
Kola
Department of Medicine, HSHS Saint Mary's Hospital, Decatur, IL 62521, USA.
Muhammad Wajih
MW
Raqeem
Oxford Heart Rhythm Service, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Headley Way, Headington, Oxford OX3 9DU, UK.
Sergey
S
Barsamyan
Department of Medicine, University of Kentucky, Lexington, KY 40506, USA.
Aibek E
AE
Mirrakhimov