To cite: Agrawal N. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015210365 DESCRIPTION Coronary artery dominance refers to whether the posterior descending artery (PDA) and posterolateral vessel (PLV) originate from the right coronary artery (RCA; 80%), left circumflex artery (LCX; left dominant 8–10%), or both (codominant). A vessel is considered super-domina...

The left coronary artery presents wide variability in its morphological expression. The purpose of this work was to determine the variations in the left coronary artery and those of its branches in heart samples taken from a group of 154 Colombian mixed-race people. Cadaveric coronary arteries were injected with synthetic resins. Left coronary artery trunks presented 6.48 +/- 2.57 mm lengths. L...

We have examined the temporal response of regional subendocardial function in conscious chronically instrumented dogs following implantation of a circumflex ameroid occluder. Collateralization was limited by ligation of epicardial anastamoses between the circumflex and adjacent coronary arteries at the time of instrumentation. Sonomicrometrically measured regional function in the circumflex cor...

OBJECTIVE This study aimed to assess the incidence of coronary anomalies using 64-multi-slice coronary computed tomography (MSCT). METHODS The diagnostic MSCT scans of 745 consecutive patients were reviewed. RESULTS The incidence of coronary anomalies was 4.96%. The detected coronary anomalies included the conus artery originating separately from the right coronary sinus (RCS) (n = 8, 1.07%...

A single coronary artery (SCA) arising from the sinus of Valsalva and supplying the entire heart is a rare congenital anomaly. According to the modified Lipton's classification, R-1 is by far the most rare subtype of SCA, with an incidence of 0.0008% in patients undergoing coronary angiography. We present a case with an unreported anomaly, classified as Lipton R-I subtype, which initially follo...

OBJECTIVE To assess imaging parameters related to the morphology of the glenohumeral joint in children with unilateral brachial plexus birth palsy (BPBP), in comparison with those obtained for healthy shoulders. MATERIALS AND METHODS We conducted a retrospective search for cases of unilateral BPBP diagnosed at our facility. Only patients with a clinical diagnosis of unilateral BPBP were inclu...

in this paper, we describe a case of an aneurysmal circumflex artery connected to the coronary sinus through a fistula in a 40-year-old man with a two-year history of palpitation and chest pain. we discussed surgical management for patients with coronary artery fistula (caf), particularly for asymptomatic patients with a small left-to-right shunt .

DESCRIPTION A 69-year-old man was seen among outpatients after an episode of chest pain. He was pain-free and haemodynamically stable. His electrocardiogram was normal, but a pan-systolic murmur was noted on examination. He was referred for outpatient exercise treadmill testing and transthoracic echocardiography. The echocardiogram demonstrated an akinetic basal posterior wall of the left ventr...

PURPOSE To investigate the coronary venous system and its relation to adjacent structures using 256-slice computed tomography (CT). MATERIALS AND METHODS The study consisted of 102 patients who underwent coronary CT angiography (CTA) using 256-slice CT. For each patient, the coronary venous system and its relation to adjacent structures were evaluated. The appropriate locations and diameters ...