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A Rare Scenario of Stenosed Type IV Dual LAD with Normal Myocardial Perfusion Scan.
MedLine Citation:
PMID:  22942781     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Dual left anterior descending artery (LAD) is a rare variation in the coronary artery anatomy having 4 different subtypes. We report a rare scenario of type IV dual LAD, with short LAD critical stenosis, compensated by a long LAD perfusing the same territory, which was missed on initial angiographic evaluation. Myocardial perfusion scan (MPS) of this patient showed preserved perfusion. A review of angiogram revealed this anomaly, indicating that a meticulous correlation of anatomic and functional modalities is necessary as it could change further management of patient.
Ameya D Puranik; Gopinathan Nair; R L Vijayraghavan
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of nuclear medicine     Volume:  11     ISSN:  1607-3312     ISO Abbreviation:  World J Nucl Med     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-09-03     Completed Date:  2012-10-02     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101286955     Medline TA:  World J Nucl Med     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  28-9     Citation Subset:  -    
Department of Nuclear Medicine, Narayana Hrudayalaya, Bangalore, India.
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