Abstract
Accurate recognition and documentation of coronary artery anomalies and their course at the time of coronary angiography is essential to determine the significance of such findings and to avoid therapeutic complications. The identification of this anomaly demands a high level of anticipation during the performance of selective coronary angiography to ensure that an adequate study is obtained. Failure to recognize and properly demonstrate the anomaly may result in improper therapeutic decisions that may be hazardous to the patients. Special surgical considerations must be made when performing the valvular replacement or coronary artery bypass grafting, if desired, in such patients.
Highlights
DISCUSSIONAnomalies of the coronary arteries have been found in 1-2% of patients undergoing coronary angiography [1,2]
We present a case of twin Cx arteries: one from the left main artery and the other from the proximal right coronary artery
Trans-radial coronary angiography revealed a normal left main coronary artery (LMCA) that divided into normal left anterior descending (LAD) artery and a branch that coursed toward the obtuse margin supplying the basal, mid, and distal-lateral left ventricular (LV) free wall, thereby, qualifying for the left circumflex artery (LCX) (Figure 1 and 2)
Summary
DISCUSSIONAnomalies of the coronary arteries have been found in 1-2% of patients undergoing coronary angiography [1,2]. Anomalies of the coronary arteries have been found in 1-2% of patients undergoing coronary angiography [1,2]. One of the most common coronary anomalies is a circumflex (Cx) coronary artery anomalously originating from the right sinus of Valsalva; double Cx arteries originating from the left and right coronary systems constitute a type of anomaly rarely reported in the literature [3,4].
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