A case of dual left anterior descending artery with myocardial infarction

Dheeraj, Abhaykumar Binodkumar; Giri, Sandeep Kumar; Ghormade, Pankaj Suresh

doi:10.4322/acr.2020.223

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Treatment strategies for dual LAD anomalies are tailored to individual patients, considering factors such as the extent of coronary involvement, associated comorbidities, and clinical presentations [5,6]. In cases of myocardial ischemia or significant stenosis, percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) may be considered [7].…”

Section: Discussionmentioning

confidence: 99%

Reviewing Successful Dual LAD Disease Intervention: A Radiological Diagnostic Approach and Literature Overview

2024

Cardiol Res Cardiovasc Med

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We present the case of a 72-year-old female with acute chest pain and signs of myocardial ischemia. Cardiac catheterization revealed a bifid left anterior descending (LAD) artery, which was successfully treated with percutaneous intervention (PCI). The procedure involved crossing the lesion using Sion Black wire, followed by balloon dilatation and stent placement. Intravascular ultrasound confirmed adequate stent apposition. Post-dilation of the proximal stent edge was performed, resulting in excellent angiographic outcomes. The patient was discharged on dual antiplatelet therapy and guideline-directed medical therapy. This case highlights the successful management of a complex bifid LAD lesion using PCI.

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Section: Discussionmentioning

confidence: 99%

Reviewing Successful Dual LAD Disease Intervention: A Radiological Diagnostic Approach and Literature Overview

2024

Cardiol Res Cardiovasc Med

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“…The most frequent symptom of patients in previous research on double LADs, as well as our case, was chest pain. 13 …”

Section: Discussionmentioning

confidence: 99%

Dual Left Anterior Descending Artery: Clinical Overview and Interventional Management

Masoumi,

Separham,

Parizad

et al. 2023

JTHC

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Congenital coronary artery anomalies are relatively rare, occurring in approximately 0.6%-1.3% of cases undergoing coronary angiography. Among these anomalies, a unique cardiac abnormality known as a dual left anterior descending artery (LAD) stands out. A dual LAD is characterized by the presence of 2 LADs in the anterior interventricular sulcus. This structural deviation consists of a shorter LAD that terminates high in the anterior interventricular sulcus and a longer LAD that extends to the distal sulcus, supplying blood to the cardiac apex. Percutaneous procedures on dual LADs are even less frequent. We describe a 53-year-old woman with typical burning chest pain, ST-elevation in leads I and aVL, and positive troponin I enzyme. Coronary angiography revealed a thrombotic lesion with 99% stenosis at the proximal part of the LAD. The main LAD originated properly from the left coronary cusp, and the remainder of its course was supplied by a second branch originating from the right coronary cusp. Computed tomography angiography and echocardiography were performed for the LAD course. The patient was discharged after an uneventful 1-week hospital stay. Our case is particularly noteworthy for several reasons. Firstly, this dual LAD anomaly is uncommon, and patients with dual LADs less frequently have a ramus artery. Secondly, there have been only a few documented cases of percutaneous transluminal coronary angioplasty performed on short LADs. The key takeaway from this scintillating case study is the significance of identifying the artery responsible for blood supply to the cardiac apex.

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Case analysis of a RIII-C single coronary artery with type IV dual LAD and right-dominant triple PDA

Lanik

McCumber

Sayyed

et al. 2023

Translational Research in Anatomy

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A case of dual left anterior descending artery with myocardial infarction

Cited by 3 publications

References 7 publications

Reviewing Successful Dual LAD Disease Intervention: A Radiological Diagnostic Approach and Literature Overview

Reviewing Successful Dual LAD Disease Intervention: A Radiological Diagnostic Approach and Literature Overview

Dual Left Anterior Descending Artery: Clinical Overview and Interventional Management

Case analysis of a RIII-C single coronary artery with type IV dual LAD and right-dominant triple PDA

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