Document Detail

Unidirectional communication between the circumflex and right coronary arteries: a very rare coronary anomaly and cause of ischemia.
MedLine Citation:
PMID:  16518672     Owner:  NLM     Status:  MEDLINE    
Intercoronary communication is an exceptionally rare congenital malformation. A 43-year-old male was admitted to our cardiology department with symptomatic stable angina. ECG and echocardiography was normal. Exercise electrocardiography showed ST depression in inferior leads. No atherosclerotic plaque in the coronary arteries was detected on coronary angiography. However, a unidirectional intercoronary communication between the circumflex and right coronary arteries, which was leading a coronary steal from right to left, was observed. Although intercoronary communication is generally not related with ischemia, ischemic symptoms and exercise ECG changes of this case suggested that unidirectional flow might cause myocardial ischemia via coronary steal. Consequently, intercoronary communication, a very rare coronary anomaly and a cause of ischemia, is discussed in this case report.
Mustafa Gur; Remzi Yilmaz; Recep Demirbag
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-03-04
Journal Detail:
Title:  The international journal of cardiovascular imaging     Volume:  22     ISSN:  1569-5794     ISO Abbreviation:  Int J Cardiovasc Imaging     Publication Date:    2006 Jun-Aug
Date Detail:
Created Date:  2006-06-09     Completed Date:  2006-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100969716     Medline TA:  Int J Cardiovasc Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  339-42     Citation Subset:  IM    
The Department of Cardiology, Faculty of Medicine, Harran University, Sanliurfa, Turkey.
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MeSH Terms
Angina Pectoris / etiology,  radiography
Coronary Angiography
Coronary Circulation*
Coronary Vessel Anomalies / complications*,  physiopathology,  radiography
Echocardiography, Stress
Exercise Test
Myocardial Ischemia / etiology*,  radiography

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