Author/Authors :
Barbaryan, Aram Department of Medicine - HSHS Saint Mary’s Hospital, Decatur, USA , Addai, Theodore Department of Cardiology - HSHS Saint Mary’s Hospital, Decatur, USA , Kola, Monahar Department of Cardiology - HSHS Saint Mary’s Hospital, Decatur, USA , Wajih Raqeem, Muhammad Department of Medicine - HSHS Saint Mary’s Hospital, Decatur, USA , Barsamyan, Sergey Oxford Heart Rhythm Service - John Radcliffe Hospital - Oxford University Hospitals NHS Foundation Trust - Headley Way, Headington, Oxford, UK , Mirrakhimov, Aibek E. Department of Medicine - University of Kentucky, Lexington, USA
Abstract :
An 82-year-old female with history of hyperlipidemia and hypertension presented to the clinic with chief complaint of nonradiating
chest tightness accompanied by exertional dyspnea. Cardiac catheterization showed the absence of left coronary system; the entire
coronary system originated from the right aortic sinus as a common trunk which then gave off the right coronary artery and the
left main coronary artery. Cardiac catheterization demonstrated also another rare coronary anomaly: dual left anterior descending
artery. Patient underwent percutaneous coronary intervention and subsequent multidetector computed tomography angiography
confirmed the above angiography findings. Patient was subsequently discharged home on double antiplatelet therapy with aspirin
and clopidogrel and has been asymptomatic since then.
