Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Oct 29;7(2):20200143.
doi: 10.1259/bjrcr.20200143. eCollection 2021 Apr 1.

A case of the crossed coronaries

Gautam Sen  1 , Alice Veitch  2 , Sergio Nabais  1
Affiliations
Case Reports

A case of the crossed coronaries

Gautam Sen et al. BJR Case Rep. .

Abstract

Coronary artery anomalies are rare; however, can be a potential cause of significant morbidity and even mortality. Crossed left anterior descending and left circumflex arteries is a rare finding, and therefore the significance of this finding is not well understood. CT coronary angiography is an excellent non-invasive modality which enables the diagnosis of such abnormalities, and it is likely that with the increased use of CT coronary angiography in cardiology, other similar cases will be diagnosed.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
(Panel A) Coronary angiogram images with selective injections of the LAD, non-selective injection to appreciate the anatomical relationship, and selective injection of the LCX. (Panel B) CTCA images with a tree angiogram reformat and axial MIP reformat showing crossing of the LAD and LCX. AO, aorta; D1, diagonal artery; LAD, left anterior descending artery; LCX, left circumflex artery; OM, obtuse marginal artery; RCA, right coronary artery.
See this image and copyright information in PMC

References

    1. Angelini P. Coronary artery anomalies: an entity in search of an identity. Circulation 2007; 115: 1296–305. doi: 10.1161/CIRCULATIONAHA.106.618082 - DOI - PubMed
    1. 19).O'Brien H, Duerden L, Hudson BJ, Rodrigues JCL. Cross my heart: a rare case of anomalous coronary artery anatomy. J Cardiovasc Comput Tomogr 2019;: S1934–592530463-0. doi: 10.1016/j.jcct.2019.10.005 - DOI - PubMed
    1. Shepard TF, Srichai MB, Kim D, Lim R, Jacobs JE. Aberrant crossed left circumflex and left anterior descending arteries: diagnosis with multidetector cardiac CT angiography. J Comput Assist Tomogr 2009; 33: 211–4. doi: 10.1097/RCT.0b013e318173f081 - DOI - PubMed
    1. Adamson PD, Newby DE. Non-Invasive imaging of the coronary arteries. Eur Heart J 2019; 40: 2444–54. doi: 10.1093/eurheartj/ehy670 - DOI - PMC - PubMed

Publication types

LinkOut - more resources