CC BY-NC-ND 4.0 · World J Nucl Med 2012; 11(01): 28-29
DOI: 10.4103/1450-1147.98744
Case Report

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

Ameya Puranik
Department of Nuclear Medicine, Narayana Hrudayalaya, Bangalore, India
,
Gopinathan Nair
Department of Nuclear Medicine, Narayana Hrudayalaya, Bangalore, India
,
R. Vijayraghavan
Department of Nuclear Medicine, Narayana Hrudayalaya, Bangalore, India
› Author Affiliations

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.



Publication History

Article published online:
21 May 2022

© 2012. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India