Tag Archives: LAD

Introduction Congenital coronary artery anomalies (CAAs) are rare structural variations affecting the origin and course of coronary vessels, reported in 0.2–1.3% of invasive angiographies and up to 5.6% of computed tomography (CT) coronary angiography studies.1 Although most variants are benign, those involving an inter-arterial course between the great arteries may result in myocardial ischaemia, arrhythmias or sudden cardiac death.2 Anomalous origin of the left anterior descending (LAD) artery from the right coronary sinus is extremely uncommon, with clinical implications depending largely on its anatomical trajectory.3 Herein, we present

So there I was, sitting in one of our twice-weekly multi-disciplinary team (MDT) meetings. I was proffering my sixpence worth on the merits of surgery (coronary artery bypass graft [CABG]) or percutaneous coronary intervention (PCI) (occasionally neither, and – rarely – both), as a succession of clinical data, scans of various types and coronary angiograms were laid before us. And I got to thinking, “is this the way it should be?” We have come a long way in tailoring treatment to patients. When PCI, or percutaneous transluminal coronary angioplasty (PTCA) as it was then, emerged as a young and promising technique in the late seventies