A lotus root-like appearance in both the left anterior descending and right coronary arteries

• Published in: Heart and vessels Vol. 31; no. 1; pp. 124 - 128
• Main Authors: Kadowaki, Hiromu, Taguchi, Eiji, Kotono, Yoshihiro, Suzuyama, Hiroto, Yoshida, Masayoshi, Miyamoto, Shinzo, Sakamoto, Tomohiro, Nishigami, Kazuhiro, Nakao, Koichi
• Format: Journal Article
• Language: English
• Published: Tokyo Springer Japan 01.01.2016; Springer Nature B.V
• Subjects: Biomedical Engineering and Bioengineering; Cardiac Surgery; Cardiology; Case Report; Coronary Angiography; Coronary vessels; Coronary Vessels - pathology; Coronary Vessels - surgery; Heart attacks; Heart failure; Heart Failure - diagnosis; Heart Failure - surgery; Humans; Male; Medicine; Medicine & Public Health; Middle Aged; Myocardial Infarction - complications; Percutaneous Coronary Intervention; Tomography, Optical Coherence; Ultrasonic imaging; Ultrasonography, Interventional; Vascular Surgery; Lotus root-like appearance; Multiple coronary arteries; Functional imaging
• ISSN: 0910-8327; 1615-2573
• DOI: 10.1007/s00380-014-0567-7

A 60-year-old man was referred to our hospital because of dyspnea on exertion. He was diagnosed with heart failure due to an old myocardial infarction. Myocardial stress perfusion scintigraphy revealed inducible myocardial ischemia. Coronary angiography revealed hazy slit lesions in both the left anterior descending (LAD) and right coronary arteries (RCA). We first performed percutaneous coronary intervention (PCI) on the LAD lesion. Subsequently, we performed PCI for the RCA lesion using multiple imaging modalities. We observed a lotus root-like appearance in both the LAD and RCA, and PCI was successful for both vessels. We describe this rare case in detail.