Anomalous Origin of the Right Coronary Artery From the Mid-Portion of the Left Anterior Descending Artery in a Patient With Single Left Coronary Artery: A Rare Coronary Artery Anomaly and Review of Literature

Anomalous Origin of the Right Coronary Artery From the Mid-Portion of the Left Anterior Descending Artery in a Patient With Single Left Coronary Artery: A Rare Coronary Artery Anomaly and Review of Literature Publisher

Monfared MB¹ ; Ghaderi H¹ ; Langroudi TF² ; Mirjafari SA³ ; Foroughi M⁴ ; Forozeshfard M⁵ ; Kiaie FH⁶

Show Affiliations

1. Department of Cardiovascular Surgery, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2. Department of Radiology, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3. Brain and Spinal Injury Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran
4. Cardiovascular Research Center, Department of Cardiovascular Surgery, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5. Departmant of Anesthesiology, Semnan University of Medical Sciences, Semnan, Iran
6. Cardiovascular Research Center, Department of Cardiology, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Radiology Published:2017

Abstract

Origination of the right coronary artery (RCA) from the left anterior descending (LAD) artery is a case of single coronary artery. It is an extremely rare coronary artery abnormality and usually an incidental finding during coronary angiography. A 73-year-old man with a medical history of hypertension arrived with chest pain. Medical therapy started for ST elevated myocardial ischemia. During his diagnostic coronary angiogram, RCA was visualized as abnormally orientating from the mid-portion of LAD. A significant lesion in the proximal part of LAD, significant long lesion in the diagonal artery, and several stenoses in the obtuse marginal artery (OMA) were observed. To evaluate the course of RCA, coronary computed tomography angiography (coronary CTA) scan was performed. The patient underwent coronary artery bypass graft (CABG) for three vessels. He was discharged without any complication and no problems were detected in follow-up. In conclusion, if during classic angiography, RCA is not seen, the physician should keep in mind that RCA may originate from LAD. Current classification cannot exactly determine this anomaly and needs revision. When there is suspicion for coronary anomaly, performing coronary CTA can be helpful for better management and planning of therapy. © 2016, Tehran University of Medical Sciences and Iranian Society of Radiology.

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Style	Citing Format
MLA	Monfared MB, et al.. "Anomalous Origin of the Right Coronary Artery From the Mid-Portion of the Left Anterior Descending Artery in a Patient With Single Left Coronary Artery: A Rare Coronary Artery Anomaly and Review of Literature." Iranian Journal of Radiology, vol. 14, no. 1, 2017, pp. -.
APA	Monfared MB, Ghaderi H, Langroudi TF, Mirjafari SA, Foroughi M, Forozeshfard M, Kiaie FH (2017). Anomalous Origin of the Right Coronary Artery From the Mid-Portion of the Left Anterior Descending Artery in a Patient With Single Left Coronary Artery: A Rare Coronary Artery Anomaly and Review of Literature. Iranian Journal of Radiology, 14(1), -.
Chicago	Monfared MB, Ghaderi H, Langroudi TF, Mirjafari SA, Foroughi M, Forozeshfard M, Kiaie FH. "Anomalous Origin of the Right Coronary Artery From the Mid-Portion of the Left Anterior Descending Artery in a Patient With Single Left Coronary Artery: A Rare Coronary Artery Anomaly and Review of Literature." Iranian Journal of Radiology 14, no. 1 (2017): -.
Harvard	Monfared MB et al. (2017) 'Anomalous Origin of the Right Coronary Artery From the Mid-Portion of the Left Anterior Descending Artery in a Patient With Single Left Coronary Artery: A Rare Coronary Artery Anomaly and Review of Literature', Iranian Journal of Radiology, 14(1), pp. -.
Vancouver	Monfared MB, Ghaderi H, Langroudi TF, Mirjafari SA, Foroughi M, Forozeshfard M, et al.. Anomalous Origin of the Right Coronary Artery From the Mid-Portion of the Left Anterior Descending Artery in a Patient With Single Left Coronary Artery: A Rare Coronary Artery Anomaly and Review of Literature. Iranian Journal of Radiology. 2017;14(1):-.
BibTex	@article{ author = {Monfared MB and Ghaderi H and Langroudi TF and Mirjafari SA and Foroughi M and Forozeshfard M and Kiaie FH}, title = {Anomalous Origin of the Right Coronary Artery From the Mid-Portion of the Left Anterior Descending Artery in a Patient With Single Left Coronary Artery: A Rare Coronary Artery Anomaly and Review of Literature}, journal = {Iranian Journal of Radiology}, volume = {14}, number = {1}, pages = {-}, year = {2017} }
RIS	TY - JOUR AU - Monfared MB AU - Ghaderi H AU - Langroudi TF AU - Mirjafari SA AU - Foroughi M AU - Forozeshfard M AU - Kiaie FH TI - Anomalous Origin of the Right Coronary Artery From the Mid-Portion of the Left Anterior Descending Artery in a Patient With Single Left Coronary Artery: A Rare Coronary Artery Anomaly and Review of Literature JO - Iranian Journal of Radiology VL - 14 IS - 1 SP - EP - PY - 2017 ER -

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