Inferior myocardial infarction and extensive atherosclerosis in a patient with double right coronary artery

Sarı, İbrahim; Uslu, Nevzat; Görgülü, Şevket; Nurkalem, Zekeriya; Eren, Mehmet

doi:10.1016/j.ijcard.2005.11.028

Cited by 22 publications

(23 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Like double RCA, absence of the LCX is very rare in the literature, with a frequency of 0.003% in all patients who underwent routine coronary angiography [1][2][3][4][5]. Absence of the LCX is usually associated with a large "super-dominant" RCA whose well-developed postero-lateral branches cross the crux of the heart ascending to the left atrioventricular groove and perfuse the zone extending to the LCX territories (Fig.…”

Section: Discussionmentioning

confidence: 99%

Absence of left circumflex coronary artery: and minireview

Ercan¹,

Sarı²,

Özer³

et al. 2012

pwki

Self Cite

View full text Add to dashboard Cite

Absence of left circumflex coronary artery: case report and minireviewBrak gałęzi okalającej lewej tętnicy wieńcowej -opis przypadku i przegląd piśmiennictwa S Su ul le ey ym ma an n E Er rc ca an n 1 1 , , I Ib br ra ah hi im m S Sa ar ri i A b s t r a c tAbsence of the left circumflex coronary artery (LCX) is a very rare coronary anomaly. The anomaly has been reported in only 0.003% of all patients who underwent routine coronary angiography. Although rare, the failure to visualize a coronary artery in its expected anatomical location might cause life-threatening complications such as total occlusion with acute coronary syndromes. In the present paper, we report a patient with absent LCX and discuss the previously reported cases in terms of diagnostic and clinical importance, association with atherosclerosis and other anomalies. We searched Medline (www.ncbi.nlm.nih.gov) for cases of absent LCX and found that so far absence of LCX has been reported 27 times and in 32 cases. Here in this case report and minireview we discuss the characteristics of the present case and previous 32 cases with absence of LCX. The majority of the patients were over 30 years old at the time of diagnosis and the condition is more common in females. Although absence of LCX is generally considered as a benign entity, it might be atherosclerotic and can cause acute coronary syndromes including myocardial infarction and be associated with other anomalies. Proper diagnosis of the absence of LCX is very important because it can be misinterpreted as a totally occluded LCX. In subjects with absent LCX, infarction in the superdominant RCA might be more dangerous. It is more common in females and although conventional coronary angiography is the most widely used diagnostic modality, multidetector computed tomography might also be helpful. K Ke ey y w wo or rd ds s: : absent, left circumflex coronary artery

show abstract

Section: Discussionmentioning

confidence: 99%

Absence of left circumflex coronary artery: and minireview

Ercan¹,

Sarı²,

Özer³

et al. 2012

pwki

Self Cite

View full text Add to dashboard Cite

show abstract

“…However in two reported case it was together with atherosclerosis in concordance with atherosclerotic lesions in the left coronary system which might reflect general atherosclerotic processes [10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Double right coronary artery originating from separate orifices — A case report and review of the literature

Karabay

Çatakoğlu

Demiroglu

et al. 2007

International Journal of Cardiology

View full text Add to dashboard Cite

“…To our knowledge, so far double RCA had been reported 18 times and in 20 cases (Table 1) [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. Until the times that these letters were sent to the journal double RCA had been reported 15 times and in 17 cases (Table 1) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Both authors failed to mention about the papers by Gupta et al [4], Kunimasa et al [17] and Lemburg et al [18] in their letters.…”

Section: Dear Editormentioning

confidence: 99%