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KMID : 0368120130430060408
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Korean Circulation Journal
2013 Volume.43 No. 6 p.408 ~ p.410
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Anomalous Separate Origin of Left Anterior Descending Coronary Artery: Presented as Acute Anterior Myocardial Infarction
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Hong Man-Yong
Shin Dae-Hee
Chang Woo-Sung
Choi Kyu-Un
Song Yun-A
Oh Kwang-Hoon
Lee Je-Hoon
Kwon Jang-Hoon
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Abstract
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Coronary artery anomalies are rare presentations in primary percutaneous coronary interventions of acute myocardial infarction. Herein, we report the case of a 59-year-old man with acute anterior myocardial infarction who had anomalous separate origin of left anterior descending artery (LAD) and left circumflex artery (LCX) from the left coronary aortic sinus. Coronary angiography showed a normal right coronary artery and LCX, but no visualization of the LAD. After several unsuccessful attempts to cannulate the LAD, we found the LAD ostium located by the side of the LCX ostium. There was total occlusion at proxymal LAD. Coronary computed tomography angiography demonstrated the precise, separate origin of LAD and LCX from the left coronary aortic sinus.
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KEYWORD
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Coronary vessel anomalies, Acute anterior wall myocardial infarction
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