An Open-Ended-Pattern Coronary Circulation: Demonstration of Its Potential "Self-Cure" Role in Obstructive Coronary Artery Disease

Antonellis, John; Kostopoulos, Konstantinos; Rabaouni, Athina; Margaris, Nikolaos G.; Kranidis, Athanasios; Salahas, Anastasios; Ifantis, George; Koroxenidis, Gabriel T.

doi:10.1177/000331979604700510

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…Among 20,880 coronary angiographies the past 9 years this is the second case, reported from our Interventional Unit, concerning intercoronary communication between LAD and RCA with 100% stenosis of main coronary artery (RCA), and no evidence of myocardial infarction [22]. Its role seems to be benign and potentially cardioprotective against the course of atherosclerotic coronary artery disease.…”

Section: Discussionmentioning

confidence: 88%

Open ended circulation pattern: A rare case of a protective coronary artery variation and review of the literature

Gavrielatos

Letsas

Pappas

et al. 2006

International Journal of Cardiology

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Section: Discussionmentioning

confidence: 88%

Open ended circulation pattern: A rare case of a protective coronary artery variation and review of the literature

Gavrielatos

Letsas

Pappas

et al. 2006

International Journal of Cardiology

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“…There were only two cases in the literature similar to our case. Antonellis et al and Gavrielatos et al reported intercoronary communications between LAD and RCA with total occlusion of the RCA and no evidence of myocardial infarction and they speculated that even thought open ended circulation pattern prevented myocardial necrosis and preserved cardiac contractility, was not sufficient enough to avert angina (10,11). However, Donaldson and Isner reported a case with >95% stenosis of the RCA with a LAD-posterior descending artery continuity and evidence of extensive transmural myocardial infarction in the distribution of the posterior descending artery (12).…”

Section: Discussionmentioning

confidence: 99%

Koroner Ark: Nadir bir koruyucu koroner arter anomalisi

Karakaş

2016

J Contemp Med

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Koroner arterler arası bağlantı veya koroner ark, iki koroner arter arasında tek yönlü veya iki yönlü akımın olduğu ve açık uçlu dolaşımın bulunduğu nadir görülen bir konjenital koroner arter anomalisidir. 85 yaşında kadın hasta acil serise tipik tarzda göğüs ağrısı ile başvurdu. Elektrokardiyografi ve ekokardiyografisinde transmural miyokard infarktüsü bulguları yoktu. Koroner anjiografide sağ koroner arterin (RCA) tıkalı olduğu ve sol ön inen arter (LAD) arasında bağlantı olduğu saptandı. RCA'da tıkayıcı lezyonun bulunduğu ve LAD ile RCA arasında koronerler arasında bağlantının bulunduğu bu çok nadir görülen koroner anomaliden literatürde sadece iki adet bulunmaktadır. Bu yazıda bu anomalinin aterosklerotik koroner arter hastalığına karşı potansiyel kardiyoprotektif rolü tartışılmıştır.Anahtar Kelimeler: Koroner arter anomalisi, koroner ark, koronerler arası bağlantı, koroner anjiografi Intercoronary communication or coronary arcade is a rare congenital coronary artery anomaly in which there is an open-ended circulation with unidirectional or bidirectional blood flow between two coronary arteries. A 85-year-old woman was admitted to the emergency service with typical chest pain. There was no evidence of transmural myocardial infarction in the results of electrocardography and echocardiography. An intercoronary connection between the left anterior descending artery (LAD) and the right coronary artery (RCA) with an obstructive lesion was detected on coronary angiography. This is a very rare coronary anomaly, only two cases of intercoronary communication between LAD and RCA with an obstructive lesion were found in the literature. The potential cardioprotective role of this entity against atherosclerotic coronary artery disease is discussed in this case report.

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An Open-Ended-Pattern Coronary Circulation: Demonstration of Its Potential "Self-Cure" Role in Obstructive Coronary Artery Disease

Abstract: A case of open-ended-pattern coronary circulation that protected the left ventricle when one large vessel was occluded is presented.

Cited by 2 publications

References 2 publications

Open ended circulation pattern: A rare case of a protective coronary artery variation and review of the literature

Open ended circulation pattern: A rare case of a protective coronary artery variation and review of the literature

Koroner Ark: Nadir bir koruyucu koroner arter anomalisi

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