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Sohrabi B, Separham A, Madadi R, Toufan M, Mohammadi N, Aslanabadi N, et al Difference between Outcome of Left Circumflex Artery and Right Coronary Artery Related Acute Inferior Wall Myocardial Infarction in Patients Undergoing Adjunctive Angioplasty after Fibrinolysis.
The proximal left circumflex artery (A, in situ, indicated by arrow) and right coronary artery (B, serially sectioned) are encased by tan, fleshy tissue and display atherosclerotic changes with luminal thrombosis.
The coronaries were looked and palpated for thickened or calcified areas and one section each from left coronary artery, right coronary artery, left circumflex artery & aorta was given.
Recommended indications include significant left main coronary artery stenosis, stenosis [greater than or equal to] =70% in the proximal left anterior descending (LAD) and proximal left circumflex artery, and 3-vessel coronary artery disease.
Cardiac catheterization demonstrated diffuse coronary artery disease, including a 99% occlusion of the middle right coronary artery, and subtotal occlusion of the proximal left circumflex artery and an estimated 70% stenosis of the left main coronary artery.
Then she placed stents into his left anterior descending artery and his left circumflex artery.
On the 8[sup]th day after admission, coronary angiography (CAG) was performed to evaluate coronary vasculature, showing mild stenosis in right coronary artery, whereas 50–60% stenosis in left anterior descending artery (LAD) and chronic occlusion of distal left circumflex artery (LCX).
Left anterior descending (LAD) artery was the most infarct-related artery (n=96; 60%) followed by right coronary artery (n=45; 28%) and left circumflex artery, (n=19; 12%) respectively (Table-2).