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

Saikiran Kakarla; Deepa Sasikumar; Jineesh Valakkada

doi:10.1093/ejcts/ezac567

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

Eur J Cardiothorac Surg. 2022 Dec 2;63(1):ezac567. doi: 10.1093/ejcts/ezac567.

Authors

Saikiran Kakarla¹, Deepa Sasikumar¹, Jineesh Valakkada²

Affiliations

¹ Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
² Department of Imaging Sciences and Intervention Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.

PMID: 36534923
DOI: 10.1093/ejcts/ezac567

Abstract

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.

Keywords: ALADCAPA; ALCAPA; Coronary cameral fistula; Dual left anterior descending artery.

MeSH terms

Coronary Angiography
Coronary Artery Disease*
Coronary Vessel Anomalies* / diagnostic imaging
Coronary Vessel Anomalies* / surgery
Humans
Pulmonary Artery / diagnostic imaging
Pulmonary Artery / surgery