TİP 1 ÇİFT SOL ÖN İNEN KORONER ARTER ANOMALİSİ: CERRAHİ REVASKÜLARİZASYON TIP 1 DUAL LEFT ANTERIOR DESCENDING CORONARY ARTERY ANOMALY: SURGICAL REVASCULARIZATION

Öz

ÖZET: Göğüs ağrısı nedeni ile hastanemiz acil servisine başvuran 60 yaşındaki erkek hastaya yapılan tahlil ve tetkikler neticesinde akut koroner sendrom tespit edildi. Koroner anjiyografide çift (dual) sol ön inen arter (SÖİA) ve ikiye ayrılma öncesi arterde kritik lezyon olduğu gözlendi. SÖİA’in kısa seyir sonrasında ikiye ayrılarak her iki arterinde apexe uzandığı görüldü. Spindola-Franco ve meslektaşlarına göre(1), normal kalplerde çift (dual) SÖİA insidansı yaklaşık %1 civarında nadir rastlanan bu anomaliye sahip olgumuzdaki deneyimimizi paylaşmayı amaçladık.

Anahtar Kelimeler: Koroner Damar Anomalileri, Koroner Anjiyografi, Cerrahi Revaskülarizasyon

ABSTRACT: A 60-year-old man presenting to our hospital's emergency department with chest pain was diagnosed with acute coronary syndrome after performance of specific examinations and tests. In coronary angiography he had dual left anterior descending artery (LAD) that had a critical lesion before its bifurcation. LAD was bifurcating after a short course, after which both branches were reaching apex. Herein, we aimed to report our experience in a case with dual LAD that was reported by Spindola-Franco et al (1) to be a rare anomaly in normal hearts, with an incidence of approximately 1%.

Keywords: Coronary vessel anomalies, coronary angiography, surgical revascularization

Anahtar Kelimeler

• Koroner Damar Anomalileri, Koroner Anjiyografi, Cerrahi Revaskülarizasyon

Kaynakça

1. Spindola-Franco H, Grose R, Solomon N. Dual left anterior descending coronary artery: angiographic description of important variants and surgical implications. Am Heart J 1983;105:445–455.
2. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990;21:28-40.
3. Manchanda A, Qureshi A, Brofferio A, Go D, Shirani J. Novel variant of dual left ante¬rior descending coronary artery. J Cardiovasc Comput Tomogr 2010; 4:139–141.
4. Maroney J, Klein LW. Report of a new anomaly of the left anterior descending artery: type VI dual LAD. Catheter Cardio¬vasc Interv 2012; 80:626–629.
5. Bozlar U, Uğurel M.Ş, Sarı S, Akgün V, Örs F, Taşar M. Prevalence of dual left anterior descending artery variations in CT angiography. Diagn Interv Radiol 2015; 21:34–41.