Pankaj Jariwala,
The Origin of The Posterior Descending Artery from the 1st Septal Perforator: A Rare Anomaly
Journal of Integrative Cardiology Open Access
2019
2674-2489
http://dx.doi.org/10.31487/j.JICOA.2019.02.06
https://www.sciencerepository.org/the-origin-of-the-posterior-descending-artery-from-the-1st-septal-perforator-a-rare-anomaly_JICOA-2019-2-106 
Abstract: The origin of the posterior descending artery [PDA] from the left anterior descending artery [LAD] or its
branches is a rare coronary anomaly. The critical coronary lesions before the origin of the PDA in this
circumstance can lead to large ischemia or infarction, which can be fatal. Coronary angiography is the
investigation of choice. These patients should undergo early revasculazation.Keywords: Congenital coronary anomalies, hyperdominant LAD, coronary angiography, percutaneous coronary intervention