Dual left anterior descending artery with anomalous left anterior descending artery from pulmonary artery: double trouble.

Saikiran KakarlaDeepa SasikumarJineesh Valakkada

Published in: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (2022)

Anomalous origin of left anterior descending artery (LAD) from pulmonary artery (ALADCAPA) with dual LAD from left sinus is an extremely rare coronary anomaly. The diagnostic challenge lies in differentiating this from a coronary cameral fistula. Surgical reimplantation of the anomalous LAD is recommended to prevent the risk of myocardial ischaemia and ventricular arrhythmias.

Keyphrases

pulmonary artery
coronary artery
pulmonary hypertension
pulmonary arterial hypertension
coronary artery disease
left ventricular
heart failure
magnetic resonance imaging
aortic stenosis
aortic valve
contrast enhanced