Dual left anterior descending coronary artery type IV

Case contributed by Abdulmajid Bawazeer
Diagnosis certain

Presentation

Chest pain on exertion, no shortness of breath.

Patient Data

Age: 45 years
Gender: Male

Accessory opacified artery branching anteriorly and early from the right coronary artery.

Dual left anterior descending one from the left coronary artery and the other from right coronary artery coursing in the anterior interventricular sulcus. 

Accessory opacified artery branching anteriorly and early from the right coronary artery.

Dual left anterior descending one from the left coronary artery and the other from right coronary artery coursing in the anterior interventricular sulcus. 

LAD = Left anterior descending artery.

Case Discussion

The double LAD coronary artery originating from the left main coronary stem and the right coronary artery is a rare congenital coronary anomaly1. It reported occurring in 0.64–1.3% of patients undergoing coronary angiography. 
Dual LAD had been reported to occur with an incidence of 1% by Spindola-Franco et al 3

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.