alexa Anomalous Twin Circumflex Artery Identified By Invasive
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
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Case Report

Anomalous Twin Circumflex Artery Identified By Invasive Coronary Angiography and Non-Invasive Multidetector CT Angiography in A 75 Year Old Caribbean Male

Chiranjivi Potu1,2, Edwin Tulloch-Reid1,2, Dainia S. Baugh1,2 and Ernest C. Madu1,2*
1Department of Medicine, Division of Cardiovascular Medicine, Heart Institute of the Caribbean, Kingston, Jamaica
2Center of Excellence for Cardiovascular Diseases and Sports Physiology, University of Technology, Kingston, Jamaica
Corresponding Author : Ernest C. Madu
Division of Cardiovascular Medicine, Heart Institute of the Caribbean 23 Balmoral Avenue
Kingston 10, Jamaica
Tel: 876-906-2105
Fax: 876-906-4413
E-mail: [email protected]
Received: February 08, 2011; Accepted: March 10, 2011; Published: March 12, 2011
Citation: Potu C, Tulloch-Reid E, Baugh DS, Madu EC (2011) Anomalous Twin Circumflex Artery Identified By Invasive Coronary Angiography and Non-Invasive Multidetector CT Angiography in A 75 Year Old Caribbean Male. J Clinic Experiment Cardiol 2:129. doi:10.4172/2155-9880.1000129
Copyright: © 2011 Potu C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Coronary artery anomalies are clinically important as there have been reports of sudden death, fatal and non-fatal myocardial infarction associated with exercise in persons with certain types of unusual coronary anatomy. Anomalous origin of the circumflex artery is not an uncommon finding; however dual origin of the circumflex artery is a rare anomaly. An extensive search of literature indicates that there have been only two such prior reports, both with nondominant anomalous left circumflex arteries. We describe here the first report of 'twin' circumflex arteries with the anomalous dominant circumflex coronary artery arising from the right coronary trunk and a non-dominant circumflex artery from left coronary artery. This was diagnosed by conventional coronary angiography and then confirmed with 64-slice multidetector computed axial tomographic (MDCT) angiography. To the best of our knowledge, this is the first report of twin circumflex coronary artery clearly demonstrated by both invasive and non-invasive techniques. No such confirmation by MDCT angiography has previously been reported in literature.

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