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CASE REPORT
Year : 2012  |  Volume : 11  |  Issue : 1  |  Page : 28-29

A Rare Scenario of Stenosed Type IV Dual LAD with Normal Myocardial Perfusion Scan


Department of Nuclear Medicine, Narayana Hrudayalaya, Bangalore, India

Correspondence Address:
Ameya D Puranik
6, Amber Palace Apts, Chittaranjan Road, Vile Parle (E), Mumbai - 400 057
India
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DOI: 10.4103/1450-1147.98744

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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.


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