TY  - JOUR
TT  - SINOATRIAL NODE ARTERY COMMUNICATED WITH CUT-OFF LEFT ANTERIOR DESCENDING ARTERY
AU  - Işık, Turgay
AU  - Ayhan, Erkan
PY  - 2012
DA  - August
JF  - Balıkesir Sağlık Bilimleri Dergisi
JO  - BAUN Sağ Bil Derg
PB  - Balıkesir Üniversitesi
WT  - DergiPark
SN  - 2146-9601
SP  - 96
EP  - 96
VL  - 1
IS  - 2
LA  - en
KW  - Sinoatrial node
KW  - Arterior descending artery
N2  - The artery that supplies the sinoatrial node (SAN) artery was a branch of either theright or left coronary artery. Most frequently (in 63% of case), the SAN node arterywas the first anterior atrial branch of right coronary artery. A 79 year old male waspresented to our cardiology department with gradually progressive typical chest painfor the preceding one year. He had no history coronary artery disease. On physicalexamination, his arterial blood pressure was seen 135/75 mmHg and theelectrocardiogram revealed sinus rhythm and heart rate was 75 bpm/regular. Cardiacauscultation showed 2/6 grade systolo-diastolic murmur and the rest of physicalexamination including respiratory sounds was unremarkable.Transthoracic echocardiography showed hypokinetic walls in the left ventricular apexand interventricular septum in mid and apical sections, mild mitral and aorticregurgitation with a calculated ejection fraction of 38% by using modified Simpson’srule. Coronary angiography showed right coronary artery was high grade stenosisfrom the after SAN artery and circumflex artery had critical lesion from the proximalsegment. The left coronary artery was totally occluded from the midportion and wassupplied retrograde fashion by the SAN artery (Figure 1A and 1B). The patient wasreferred to the cardiovascular surgery department for coronary artery bypassoperation. However, he refused the surgical operation or percutaneous coronaryintervention. He was discharged on medical treatment
CR  - .
UR  - https://dergipark.org.tr/tr/pub/balikesirsbd/issue//451832
L1  - https://dergipark.org.tr/tr/download/article-file/520956
ER  -