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. 2008 Nov;16(11):387-9.
doi: 10.1007/BF03086184.

A rare combination of coronary anomalies

L B J van der Velden  1 , F W H M Bär, B T J Meursing, T J M Ophuis
Affiliations

A rare combination of coronary anomalies

L B J van der Velden et al. Neth Heart J. 2008 Nov.

Abstract

Coronary anomalies are found in less than 1% of diagnostic coronary angiograms. The clinical relevance of these anomalies varies from insignificant to potentially lethal. The major role of coronary angiography in interventional cardiology and coronary surgery underscores the importance of having knowledge of the variations in coronary anatomy and their clinical relevance. We report a rare case of a patient with a combination of coronary anomalies: coronary fistulae, a double circumflex coronary artery and anomalous origin of a circumflex artery from the proximal right coronary artery. (Neth Heart J 2008;16:387-9.).

Keywords: coronary anomalies; coronary fistulae; double circumflex.

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Figures

Figure 1
Figure 1
Left anterior oblique (LAO) straight projection. RCA= right coronary artery, CX2=anomalous circumflex coronary artery arising from the right coronary artery.
Figure 2
Figure 2
Left anterior oblique (LAO) cranial projection. LAD=left anterior descending coronary artery, CX=normal circumflex coronary artery, fistulae=coronary arterio-venous fistulae. The images of the fistulae are somewhat vague because of their small dimensions.
Figure 3
Figure 3
Left anterior oblique (LAO) caudal projection. LAD=left anterior descending coronary artery, CX1=normal circumflex coronary artery. D1=diagonal branch.
Figure 4
Figure 4
Schematic illustration of the double circumflex coronary system. RCA=right coronary artery, CX=circumflex, LAD= left anterior descending coronary artery, CX2=anomalouscircumflex coronary artery arising from the right coronary artery.
See this image and copyright information in PMC

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