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Dual left anterior descending coronary artery
Sometime a cross road
Type I
Proximal long LAD courses parallel
to anterior interventricular groove
on left ventricle and is source of
major diagonal vessels. Short LAD
provides major septal perforating
vessels
Type II
Proximal long LAD courses parallel
to anterior interventricular groove
on right ventricle. Short LAD
provides major septal perforators,
and LAD proper provides major
diagonal vessel to left ventricle.
Type III
Long LAD has intramyocardial
course. Long LAD has
intramyocardial course.
Type IV
Long LAD has anomalous origin
from right coronary artery before
entering anterior interventricular
groove
Type I Dual LAD:CTO of Larger LAD
https://youtu.be/uFsAZOrw35w

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Dual left anterior descending coronary artery

  • 1. Dual left anterior descending coronary artery Sometime a cross road
  • 2. Type I Proximal long LAD courses parallel to anterior interventricular groove on left ventricle and is source of major diagonal vessels. Short LAD provides major septal perforating vessels
  • 3. Type II Proximal long LAD courses parallel to anterior interventricular groove on right ventricle. Short LAD provides major septal perforators, and LAD proper provides major diagonal vessel to left ventricle.
  • 4. Type III Long LAD has intramyocardial course. Long LAD has intramyocardial course.
  • 5. Type IV Long LAD has anomalous origin from right coronary artery before entering anterior interventricular groove
  • 6. Type I Dual LAD:CTO of Larger LAD https://youtu.be/uFsAZOrw35w