THORAX ABDOMEN AND PELVIS

MEDICAL

HEART AND PERICARDIUM

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Patient’s coronary angiograms reveal a thrombosis in the circumflex branch of the left coronary artery. Which of the following conditions could result from blockage of blood flow in the circumflex branch?
A
tricuspid valve insufficiency
B
mitral valve insufficiency
C
ischemia of AVN
D
paralysis of pectinate muscle
E
necrosis of moderator band (septomarginal trabecula)
Explanation: 

Detailed explanation-1: -The circumflex artery branches off of the left coronary artery and supplies most of the left atrium: the posterior and lateral free walls of the left ventricle, and part of the anterior papillary muscle.

Detailed explanation-2: -Occlusion in the left circumflex artery ECG changes resemble those seen in posterior infarction due to occlusion in the RCA, namely ST-segment elevations in V7–V9 and reciprocal ST-segment depressions in V1–V3, along with high R-waves and positive T-waves in the same leads (V1–V3).

Detailed explanation-3: -It’s dangerous as it can obstruct or stop the flow of blood to major organs, such as the heart or brain. If a blood clot narrows one or more of the arteries leading to the heart, muscle pain known as angina can occur. If a blood clot blocks the arteries leading to part of the heart muscle, it will cause a heart attack.

There is 1 question to complete.