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Case Reports
. 2016 Jan;31(1):124-8.
doi: 10.1007/s00380-014-0567-7. Epub 2014 Aug 21.

A lotus root-like appearance in both the left anterior descending and right coronary arteries

Hiromu Kadowaki  1 , Eiji Taguchi  2 , Yoshihiro Kotono  1 , Hiroto Suzuyama  1 , Masayoshi Yoshida  1 , Shinzo Miyamoto  1 , Tomohiro Sakamoto  1 , Kazuhiro Nishigami  1 , Koichi Nakao  1
Affiliations
Case Reports

A lotus root-like appearance in both the left anterior descending and right coronary arteries

Hiromu Kadowaki et al. Heart Vessels. 2016 Jan.

Abstract

A 60-year-old man was referred to our hospital because of dyspnea on exertion. He was diagnosed with heart failure due to an old myocardial infarction. Myocardial stress perfusion scintigraphy revealed inducible myocardial ischemia. Coronary angiography revealed hazy slit lesions in both the left anterior descending (LAD) and right coronary arteries (RCA). We first performed percutaneous coronary intervention (PCI) on the LAD lesion. Subsequently, we performed PCI for the RCA lesion using multiple imaging modalities. We observed a lotus root-like appearance in both the LAD and RCA, and PCI was successful for both vessels. We describe this rare case in detail.

Keywords: Functional imaging; Lotus root-like appearance; Multiple coronary arteries.

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