rss
BMJ Case Reports 2013; doi:10.1136/bcr-2012-007800
  • Images in…

Bag of worms in coronary angiogram: an interesting case of right coronary artery collateral circulation

  1. Rangaraj Ramalingam
  1. Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India
  1. Correspondence to Dr Sunil Srinivas, sunilbmc98{at}gmail.com

Description

A 35-year-old man presented with effort angina for 3 months. He was a chronic smoker and had a history of anterior wall myocardial infarction 6 months before admission. He was not thrombolysed and managed conservatively at that time and, since then, he was on medical treatment.

Examination did not reveal any significant findings. Electrocardiogram showed q waves with T wave inversions in anterior chest leads. Echocardiogram showed regional wall motion abnormality in the anterior wall and septum with ejection fraction of 45%. Coronary angiogram revealed total occlusion of left anterior descending artery (LAD) at the ostium (figure 1). Distal vessel was formed by Rentrope Grade II collaterals from both left circumflex and right coronary …

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article