SUPERDOMINANT LEFT CORONARY ARTERY

Authors

  • João Gabriel Duarte Silva Guimarães Author
  • Ketheleen Kariny Pond Pereira Author
  • Fábio Moniz de Rezende Author

DOI:

https://doi.org/10.56238/arev7n10-269

Keywords:

Coronary Dominance, Left Coronary Artery, Superdominant Anterior Interventricular Branch

Abstract

Coronary dominance is generally determined by the origin of the posterior interventricular branch, with right dominance being the most common pattern. However, few reports describe the overdominant left coronary pattern. Therefore, we aimed to report a case of left coronary overdominance, where the posterior interventricular branch was a continuation of the anterior interventricular branch. Although not immediately clinically relevant, certain anomalies can lead to serious complications, such as angina and heart failure. The formation of vascular sinusoids in the embryonic myocardium and their subsequent involution during fetal development may be related to the formation of these anomalies. Therefore, detailed anatomical knowledge of the coronary arteries is essential for identifying variations that may impact cardiovascular health and for preventing ischemic events.

Downloads

Download data is not yet available.

References

Abuchaim, D. C. S., & et al. (2009). Coronary dominance patterns in the human heart investigated by corrosion casting. Brazilian Journal of Cardiovascular Surgery, 24(4), 514–518.

Agrawal, H., & et al. (2017). Anatomic types of anomalous aortic origin of a coronary artery: A pictorial summary. Congenital Heart Disease, 12(5), 603–606. https://doi.org/10.1111/chd.12511

Altin, C., & et al. (2015). Coronary anatomy, anatomic variations and anomalies: A retrospective coronary angiography study. Singapore Medical Journal, 56(6), 339–345. https://doi.org/10.11622/smedj.2015097

Chen, X., & et al. (2020). Image-based morphometric studies of human coronary artery bifurcations with/without coronary artery disease. Computer Methods in Biomechanics and Biomedical Engineering, 24(7), 740–752. https://doi.org/10.1080/10255842.2020.1842376

de Souza Batista, A. V., Porto, E. A., & Molina, G. P. (2011). Study of the anatomy of the left coronary artery and its variations: Perspectives of a new classification. Health & Science Journal, 2(1), 55–65.

Diwan, D., & et al. (2017). Main trunk of left coronary artery: Anatomy and clinical implications. Journal of Medical Sciences and Clinical Research, 5(1), 15658–15663. https://doi.org/10.18535/jmscr/v5i1.15

Galbraith, E. M., & et al. (2010). Comparison of location of “culprit lesions” in left anterior descending coronary artery among patients with anterior wall ST-segment elevation myocardial infarction having ramus intermedius coronary arteries versus patients not having such arteries. The American Journal of Cardiology, 106(2), 162–166. https://doi.org/10.1016/j.amjcard.2010.03.008

Ghadri, J. R., & et al. (2014). Congenital coronary anomalies detected by coronary computed tomography compared to invasive coronary angiography. BMC Cardiovascular Disorders, 14, 81. https://doi.org/10.1186/1471-2261-14-81

He, Y., & et al. (2018). Validation of the V‐RESOLVE (Visual Estimation for Risk Prediction of Side Branch Occlusion in Coronary Bifurcation Intervention) score system. Catheterization and Cardiovascular Interventions, 91(S1), 591–598. https://doi.org/10.1002/ccd.27427

Hosapatna, M., & et al. (2013). Anatomical variations in the left coronary artery and its branches. Singapore Medical Journal, 54(1), 49–52. https://doi.org/10.11622/smedj.2013012

Lipton, M. J., & et al. (1979). Isolated single coronary artery: Diagnosis, angiographic classification, and clinical significance. Radiology, 130(1), 39–47. https://doi.org/10.1148/130.1.39

Koşar, P., & et al. (2009). Anatomic variations and anomalies of the coronary arteries: 64-slice CT angiographic appearance. Diagnostic and Interventional Radiology, 15(4), 275–283.

Pimenta, H. B., & et al. (2024). Artéria coronária esquerda superdominante. In Ciência, cuidado e saúde: Contextualizando saberes (Vol. 4, pp. 69–76). Editora Científica Digital.

Downloads

Published

2025-10-28

Issue

Section

Articles

How to Cite

GUIMARÃES, João Gabriel Duarte Silva; PEREIRA, Ketheleen Kariny Pond; DE REZENDE, Fábio Moniz. SUPERDOMINANT LEFT CORONARY ARTERY. ARACÊ , [S. l.], v. 7, n. 10, p. e9347 , 2025. DOI: 10.56238/arev7n10-269. Disponível em: https://periodicos.newsciencepubl.com/arace/article/view/9347. Acesso em: 5 dec. 2025.