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一例双左前降支动脉伴心肌梗死病例。

A case of dual left anterior descending artery with myocardial infarction.

作者信息

Dheeraj Abhaykumar Binodkumar, Giri Sandeep Kumar, Ghormade Pankaj Suresh

机构信息

All India Institute of Medical Sciences, Department of Forensic Medicine and Toxicology, Raipur, Chhattisgarh, India.

出版信息

Autops Case Rep. 2020 Nov 20;10(4):e2020223. doi: 10.4322/acr.2020.223.

Abstract

The Left anterior descending artery (LAD) is a branch of the left main coronary artery which runs obliquely towards the apex of the heart in the anterior interventricular sulcus. Among all of the coronary arteries, the LAD artery has the most constant course. Amongst the anomalies of coronaries, the duplication or bifurcation of the LAD artery is infrequent. The classification of the bifurcation of the LAD has been extensively described in various reports with the widespread use of CT Angiography. We describe herein, an anomalous LAD detected on autopsy. This unusual case highlights the gross autopsy finding of Type-I anomalous dual LAD coronary artery in a young adult who died of Myocardial Infarction.

摘要

左前降支动脉(LAD)是左冠状动脉主干的一个分支,它在前室间沟中斜向心脏心尖延伸。在所有冠状动脉中,LAD动脉的走行最为恒定。在冠状动脉异常中,LAD动脉的重复或分叉并不常见。随着CT血管造影的广泛应用,LAD分叉的分类在各种报告中已有广泛描述。我们在此描述一例尸检时发现的异常LAD。这个不寻常的病例突出了一名死于心肌梗死的年轻成年人中I型异常双LAD冠状动脉的大体尸检发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28b2/7703199/e9b7118c7d9c/autopsy-10-4-e2020223-gf01.jpg

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