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A D V E R T I S E M E N T
A D V E R T I S E M E N T
A 54-year-old diabetic man with exertional chest pain had ischemic EKG changes on exercise stress testing. Coronary angiogram (RAO view) showed 50% narrowing of the left anterior descending between the first two diagonals (D1 & D2) and again after the first septal branch (S1). The left circumflex was totally obstructed after the second obtuse marginal (OM2) with distal recanalization.
A D V E R T I S E M E N T
The right coronary had proximal and distal high grade stenoses as well. The patient had a right dominant system (60% of coronaries are right dominant), i.e. the poster descending was supplied by the right coronary (see coronary anatomy).
Notes:
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A D V E R T I S E M E N T
The names of coronary branches are shown in this illustration.
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This page was last modified on 12/19/2000.
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