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Kugel’s Artery in Coronary Computed Tomography Angiography in a Patient with Left Main Subtotal Stenosis

1
Centre of Diagnostic Imaging, 4th Military Hospital, Weigla 5, 50-981 Wrocław, Poland
2
Department of Environmental Health, Occupational Medicine and Epidemiology, Wroclaw Medical University, Mikulicza-Radeckiego 7, 50-345 Wrocław, Poland
3
Department of Angiology and Internal Medicine, Wroclaw Medical University, Borowska 213, 50-556 Wrocław, Poland
*
Author to whom correspondence should be addressed.
Diagnostics 2024, 14(19), 2142; https://doi.org/10.3390/diagnostics14192142
Submission received: 18 July 2024 / Revised: 12 September 2024 / Accepted: 25 September 2024 / Published: 26 September 2024
(This article belongs to the Special Issue Computed Tomography Imaging in Medical Diagnosis)

Abstract

The artery of Kugel is defined as a rare anatomical variant of the coronary arteries. It consists of an anastomotic connection between the branches of the right coronary artery (RCA) and the left circumflex artery (LCx). In patients with coronary artery occlusion, the presence of this connection bypassing the area of the occluded vessel may be a factor that prevents significant necrosis of a specific area of the myocardium. Most cases are detected by invasive coronary angiography. We present images from coronary computed tomography angiography (CCTA), which documented the existence of Kugel’s artery in a 67-year-old patient with subtotal stenosis of the left main artery. The presented images clearly indicate that CCTA can visualize the existing rescue collateral circulation in patients with significant coronary artery disease.
Keywords: Kugel’s artery; coronary computed tomography angiography; left main stenosis; left circumflex; right coronary artery Kugel’s artery; coronary computed tomography angiography; left main stenosis; left circumflex; right coronary artery

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MDPI and ACS Style

Gać, P.; Głuszczyk, A.; Plizga, J.; Bińczyk, W.; Dróżdż, O.; Poręba, R. Kugel’s Artery in Coronary Computed Tomography Angiography in a Patient with Left Main Subtotal Stenosis. Diagnostics 2024, 14, 2142. https://doi.org/10.3390/diagnostics14192142

AMA Style

Gać P, Głuszczyk A, Plizga J, Bińczyk W, Dróżdż O, Poręba R. Kugel’s Artery in Coronary Computed Tomography Angiography in a Patient with Left Main Subtotal Stenosis. Diagnostics. 2024; 14(19):2142. https://doi.org/10.3390/diagnostics14192142

Chicago/Turabian Style

Gać, Paweł, Agnieszka Głuszczyk, Jakub Plizga, Wiktoria Bińczyk, Olgierd Dróżdż, and Rafał Poręba. 2024. "Kugel’s Artery in Coronary Computed Tomography Angiography in a Patient with Left Main Subtotal Stenosis" Diagnostics 14, no. 19: 2142. https://doi.org/10.3390/diagnostics14192142

APA Style

Gać, P., Głuszczyk, A., Plizga, J., Bińczyk, W., Dróżdż, O., & Poręba, R. (2024). Kugel’s Artery in Coronary Computed Tomography Angiography in a Patient with Left Main Subtotal Stenosis. Diagnostics, 14(19), 2142. https://doi.org/10.3390/diagnostics14192142

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