Anomalous Double Blood Supply to the Anterior Descending (LAD, RAD) Artery in an Infective Endocarditis Patient: A Case Report
DOI:
https://doi.org/10.1532/hsf.4863Keywords:
Anomalous coronary artery, Infective endocarditis, Cardiopulmonary bypassAbstract
Background: Double blood supply to the anterior descending artery is a rare finding of coronary angiography. However, infective endocarditis (IE) combined with anomalous double blood supply to the anterior descending artery has not been reported.
Case presentation: A 58-year-old male previously diagnosed with IE came to the emergency department with complaints of chest tightness and dyspnea. Further examination confirmed severe aortic valve regurgitation combined with IE and anomalous double blood supply to the anterior descending artery. The cardiopulmonary bypass surgery was performed by direct perfusion through the normal left and right coronary openings. After surgery, the heart started beating again normally without any cardiogenic ischemic events.
Conclusion: Cardiopulmonary bypass by direct perfusion was safe in the patient with anomalous double blood supply to the anterior descending artery.
References
Bitigen A, Erkol A, Oduncu V, Akgün T, Mansuroglu D, Ozdemir N. 2007. Atherosclerosis in type iv dual left anterior descending artery and anomalous aortic origin of the left circumflex artery in association with rheumatic valve disease: A case report. Heart Surg Forum. 10(4):E276-E278.
Erbay AR, Turhan H, Senen K. 2003. Double left anterior descending artery arising from the left main stem and right sinus of valsalva: An extremely rare coronary artery anomaly. Acta Cardiol. 58(5):417-419.
Jiang MX, Blackstone EH, Karamlou T, et al. 2020. Anomalous aortic origin of a coronary artery in adults. Ann Thorac Surg.
Kosar F. 2006. An unusual case of double anterior descending artery originating from the left and right coronary arteries. Heart Vessels. 21(6):385-387.
Kunimoto S, Sato Y, Kunimasa T, et al. 2009. Double left anterior descending artery arising from the left and right coronary arteries: Depiction at multidetector-row computed tomography. Int J Cardiol. 132(2):e54-e56.
Lee YF, Huang JH, Chen JY, Chen WJ, Lee WJ. 2020. A rare coronary anomaly -- type 4 dual left anterior descending artery accompanying anomalous origin of the left coronary artery from the right coronary sinus. J Cardiovasc Comput Tomogr. 14(5):e51-e53.
Spindola-Franco H, Grose R, Solomon N. 1983. Dual left anterior descending coronary artery: Angiographic description of important variants and surgical implications. Am Heart J. 105(3):445-455.
Talanas G, Delpini A, Casu G, Bilotta F, Pes R, Terrosu P. 2009. A double left anterior descending coronary artery emerging from the right valsalva sinus: A case report and a brief literature review. J Cardiovasc Med (Hagerstown). 10(1):64-67.
Turhan H, Atak R, Erbay AR, Senen K, Yetkin E. 2004. Double left anterior descending coronary artery arising from the left and right coronary arteries: A rare congenital coronary artery anomaly. Heart Vessels. 19(4):196-198.
