Type II single coronary artery from right aortic sinus, retro-aortic left coronary artery and dual LAD: a rare association of coronary arterial variations.

Purpose: The coronary arterial tree has a wide range of possible benign anatomical variations. It is important to differentiate them from coronary arterial anomalies, which can remain asymptomatic or in some cases lead to sudden death if undiagnosed. Methods: A 42-year-old female patient with a tran...

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Publicado en:Surgical & Radiologic Anatomy Vol. 45; no. 3; pp. 283 - 288
Autores principales: Macchi, Edoardo, Piacentino, Filippo, Curti, Marco, Gnesutta, Aroa, Ossola, Christian, Timb, FilsTimb, De Ponti, Roberto, Fontana, Federico, Venturini, Massimo
Formato: Journal Article
Publicado: Springer Nature Mar2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2023
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00276-022-03064-w
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        atl: Type II single coronary artery from right aortic sinus, retro-aortic left coronary artery and dual LAD: a rare association of coronary arterial variations.
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          Macchi, Edoardo
          Piacentino, Filippo
          Curti, Marco
          Gnesutta, Aroa
          Ossola, Christian
          Timb, FilsTimb
          De Ponti, Roberto
          Fontana, Federico
          Venturini, Massimo
        affil: Diagnostic and Interventional Radiology Department, Circolo Hospital, ASST Sette Laghi, 21100, Varese, Italy
      sug:
      ab: Purpose: The coronary arterial tree has a wide range of possible benign anatomical variations. It is important to differentiate them from coronary arterial anomalies, which can remain asymptomatic or in some cases lead to sudden death if undiagnosed. Methods: A 42-year-old female patient with a transient ST depression in right precordial leads performed an ECG-gated computed tomography angiography with dual layer spectral CT (IQon Elite Spectral CT, Philips, Amsterdam, The Netherlands) at Circolo Hospital of Varese. Results: A rare variant was observed and studied: a single common trunk arising from the right sinus of Valsalva which branches into a right coronary artery, a left anterior descending artery with malignant course and a left main with a retroaortic course; the left main gives origin to a dual anterior interventricular artery ("Dual LAD") and a left circumflex artery. Conclusions: This type of variation was never described in the English literature. Identifying this variant is crucial for potential ischemic complications during sports activities or with the onset of atherosclerotic disease.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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