SINOATRIAL NODE ARTERY COMMUNICATED WITH CUT-OFF LEFT ANTERIOR DESCENDING ARTERY
Abstract
The artery that supplies the sinoatrial node (SAN) artery was a branch of either the
right or left coronary artery. Most frequently (in 63% of case), the SAN node artery
was the first anterior atrial branch of right coronary artery. A 79 year old male was
presented to our cardiology department with gradually progressive typical chest pain
for the preceding one year. He had no history coronary artery disease. On physical
examination, his arterial blood pressure was seen 135/75 mmHg and the
electrocardiogram revealed sinus rhythm and heart rate was 75 bpm/regular. Cardiac
auscultation showed 2/6 grade systolo-diastolic murmur and the rest of physical
examination including respiratory sounds was unremarkable.
Transthoracic echocardiography showed hypokinetic walls in the left ventricular apex
and interventricular septum in mid and apical sections, mild mitral and aortic
regurgitation with a calculated ejection fraction of 38% by using modified Simpson’s
rule. Coronary angiography showed right coronary artery was high grade stenosis
from the after SAN artery and circumflex artery had critical lesion from the proximal
segment. The left coronary artery was totally occluded from the midportion and was
supplied retrograde fashion by the SAN artery (Figure 1A and 1B). The patient was
referred to the cardiovascular surgery department for coronary artery bypass
operation. However, he refused the surgical operation or percutaneous coronary
intervention. He was discharged on medical treatment
Keywords
References
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Details
Primary Language
English
Subjects
-
Journal Section
Letter to Editor
Publication Date
August 30, 2012
Submission Date
February 3, 2012
Acceptance Date
June 5, 2012
Published in Issue
Year 2012 Volume: 1 Number: 2
APA
Işık, T., & Ayhan, E. (2012). SINOATRIAL NODE ARTERY COMMUNICATED WITH CUT-OFF LEFT ANTERIOR DESCENDING ARTERY. Balıkesir Sağlık Bilimleri Dergisi, 1(2), 96-96. https://izlik.org/JA42ER96YW
AMA
1.Işık T, Ayhan E. SINOATRIAL NODE ARTERY COMMUNICATED WITH CUT-OFF LEFT ANTERIOR DESCENDING ARTERY. BAUN Health Sci J. 2012;1(2):96-96. https://izlik.org/JA42ER96YW
Chicago
Işık, Turgay, and Erkan Ayhan. 2012. “SINOATRIAL NODE ARTERY COMMUNICATED WITH CUT-OFF LEFT ANTERIOR DESCENDING ARTERY”. Balıkesir Sağlık Bilimleri Dergisi 1 (2): 96-96. https://izlik.org/JA42ER96YW.
EndNote
Işık T, Ayhan E (August 1, 2012) SINOATRIAL NODE ARTERY COMMUNICATED WITH CUT-OFF LEFT ANTERIOR DESCENDING ARTERY. Balıkesir Sağlık Bilimleri Dergisi 1 2 96–96.
IEEE
[1]T. Işık and E. Ayhan, “SINOATRIAL NODE ARTERY COMMUNICATED WITH CUT-OFF LEFT ANTERIOR DESCENDING ARTERY”, BAUN Health Sci J, vol. 1, no. 2, pp. 96–96, Aug. 2012, [Online]. Available: https://izlik.org/JA42ER96YW
ISNAD
Işık, Turgay - Ayhan, Erkan. “SINOATRIAL NODE ARTERY COMMUNICATED WITH CUT-OFF LEFT ANTERIOR DESCENDING ARTERY”. Balıkesir Sağlık Bilimleri Dergisi 1/2 (August 1, 2012): 96-96. https://izlik.org/JA42ER96YW.
JAMA
1.Işık T, Ayhan E. SINOATRIAL NODE ARTERY COMMUNICATED WITH CUT-OFF LEFT ANTERIOR DESCENDING ARTERY. BAUN Health Sci J. 2012;1:96–96.
MLA
Işık, Turgay, and Erkan Ayhan. “SINOATRIAL NODE ARTERY COMMUNICATED WITH CUT-OFF LEFT ANTERIOR DESCENDING ARTERY”. Balıkesir Sağlık Bilimleri Dergisi, vol. 1, no. 2, Aug. 2012, pp. 96-96, https://izlik.org/JA42ER96YW.
Vancouver
1.Turgay Işık, Erkan Ayhan. SINOATRIAL NODE ARTERY COMMUNICATED WITH CUT-OFF LEFT ANTERIOR DESCENDING ARTERY. BAUN Health Sci J [Internet]. 2012 Aug. 1;1(2):96-. Available from: https://izlik.org/JA42ER96YW
