A seventy-one-year-old woman suffering from angina pectoris had a superdominant left anterior descending artery with a 95% stenosis just after it extended the apex. This super dominant artery was demonstrated angiographically by the findings that it ran in the posterior interventricular sulcus and reached the crux of the heart. Percutaneous trans luminal coronary angioplasty for the stenosis beyond the apex was successfully performed. After the procedure, she was relieved from chest pain.
Get full access to this article
View all access options for this article.
References
1.
Schlesinger MJ: Relation of anatomic pattern to pathologic condition of the coronary arteries. Arch Pathol30:403-415, 1938.
2.
James TN: Anatomy of the Coronary Arteries. New York: Paul B. Hoeber, Inc., 1961, pp 19-54.
3.
Hamby RI: Coronary Topography, Clinical-Anatomical Correlates in Coronary Artery Disease . New York: Futura Publishing Company , 1979, pp 39-51.
4.
Yamaguchi T. , Kikuchi S., Doi H., et al: Coronary artery bypass grafting for a very rare run-off case of superdominant left anterior descending artery . Nippon Kyobu Geka Gakkai Zasshi38:2117-2121, 1990.
5.
Aha CommitteeReport: A reporting system on patients evaluated for coronary artery disease. Circulation51:7-39, 1975.
