Unusual coronary anatomy in an adult with CAD

Splittgerber FH

Essen University Medical School Medical Center, Department of Thoracic and Cardiovascular Surgery, Essen, Germany

55yo male patient with angina pectoris at rest.

Several unusual findings during coronary cineangiography in addition to the high grade proximal LAD stenosis:

unusual vessel when trying to inject the RCA
special finding in the ventriculogram (RAO-view)

What anomaly are we dealing with?
How do the coronary angiograms fit together?
What exactly is the anomalous finding in the ventriculogram?
What significance does the anomaly have?
What should the treatment look like?

Explanation of case.

Copyright Fred Splittgerber.

last update 8/1/96