Myocardial Ischemia Secondary to Anomalous Origin of Left Anterior Descending Coronary Artery: A Case Report and Literature Review

Osama A. Abdulrahman; Marah M. Alsulami; Shumukh B. Altuwairgi; Mohammad F. Babgi; Nabil A. Alrashidi; Ehab Kasem; Mohammed H. Miny; Elnazeer O. Ahmed

doi:10.12659/AJCR.950091

11 November 2025 : Case report Saudi Arabia

Myocardial Ischemia Secondary to Anomalous Origin of Left Anterior Descending Coronary Artery: A Case Report and Literature Review

Unusual clinical course, Challenging differential diagnosis, Congenital defects / diseases

Osama A. Abdulrahman^{ABCDEFG 1}, Marah M. Alsulami^{BCDEF 2}, Shumukh B. Altuwairgi^{CDEF 3}, Mohammad F. Babgi^{ABCDEFG 4*}, Nabil A. Alrashidi^{EFG 1}, Ehab Kasem^{ABCDEF 4,5}, Mohammed H. Miny^{ABCDEFG 4}, Elnazeer O. Ahmed^{ABCDEFG 6}

DOI: 10.12659/AJCR.950091

Am J Case Rep 2025; 26:e950091

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Figure 2 Multi-slice computed tomography angiography (MSCTA) of Group VI dual left anterior descending (LAD) artery anomaly. (A) Three-dimensional (3D) rendering showing the origin of the long LAD from the right coronary artery (RCA). (B) The first (long) LAD arises as a branch from the RCA at the right coronary sinus (RCS), while the second (short) LAD arises from the left main coronary artery (LMCA). (C) Sagittal view and (D) curved multiplanar reformation (MPR) view, both showing the malignant inter-arterial course (between the right ventricular outflow tract and aorta).

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Myocardial Ischemia Secondary to Anomalous Origin of Left Anterior Descending Coronary Artery: A Case Report and Literature Review

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