Singh Satyajit, Varshney Amratansh, Kumar Abhishek, Naik Surendra K
Cardiology, All India Institute of Medical Sciences, Raipur, Raipur, IND.
Cureus. 2024 Sep 3;16(9):e68585. doi: 10.7759/cureus.68585. eCollection 2024 Sep.
Coronary arteries are typically identified based on the myocardial territory they supply. In rare cases of coronary artery anomalies, the apex of the heart may be supplied by arteries other than the left anterior descending artery. While it is more common for the posterior descending artery from the right coronary artery to supply the apex, there are rare instances where the left circumflex (LCX) artery performs this function. This case report describes an unusual occurrence where the left ventricular apex is supplied by an obtuse marginal branch of the LCX artery. We present this case due to its rarity, unique presentation, and the challenges it poses for both medical and surgical management.
冠状动脉通常根据其供血的心肌区域来识别。在罕见的冠状动脉异常病例中,心脏的心尖可能由左前降支动脉以外的动脉供血。虽然右冠状动脉发出的后降支动脉供血给心尖更为常见,但也有罕见情况是左旋支(LCX)动脉执行此功能。本病例报告描述了一种不寻常的情况,即左心室心尖由LCX动脉的钝缘支供血。我们呈现此病例是因其罕见性、独特表现以及对药物和手术治疗带来的挑战。