Ischemia in the Territory of the First Major Septal Perforator Branch Anomalously Originating From the First Diagonal Branch Leads to a Transient Leftward Shift of the QRS Axis in the Frontal Plane A Case Report

Koji Kodama-Takahashi; Jun Suzuki; Akira Watanabe; Tomoaki Ohtsuka; Hidetoshi Hashida; Shuntaro Ikeda; Taishi Kuwahara; Yuji Hara; Yuji Shigematsu; Mareomi Hamada; Kunio Hiwada

doi:10.1253/circj.67.885

Case Report

Ischemia in the Territory of the First Major Septal Perforator Branch Anomalously Originating From the First Diagonal Branch Leads to a Transient Leftward Shift of the QRS Axis in the Frontal Plane

A Case Report

Koji Kodama-Takahashi, Jun Suzuki, Akira Watanabe, Tomoaki Ohtsuka, Hidetoshi Hashida, Shuntaro Ikeda, Taishi Kuwahara, Yuji Hara, Yuji Shigematsu, Mareomi Hamada, Kunio Hiwada

Author information

Koji Kodama-Takahashi
The Second Department of Internal Medicine, Ehime University School of Medicine
Jun Suzuki
The Second Department of Internal Medicine, Ehime University School of Medicine
Akira Watanabe
The Second Department of Internal Medicine, Ehime University School of Medicine
Tomoaki Ohtsuka
The Second Department of Internal Medicine, Ehime University School of Medicine
Hidetoshi Hashida
The Second Department of Internal Medicine, Ehime University School of Medicine
Shuntaro Ikeda
The Second Department of Internal Medicine, Ehime University School of Medicine
Taishi Kuwahara
The Second Department of Internal Medicine, Ehime University School of Medicine
Yuji Hara
The Second Department of Internal Medicine, Ehime University School of Medicine
Yuji Shigematsu
The Second Department of Internal Medicine, Ehime University School of Medicine
Mareomi Hamada
The Second Department of Internal Medicine, Ehime University School of Medicine
Kunio Hiwada
The Second Department of Internal Medicine, Ehime University School of Medicine

Keywords: Anomalous origin, First major septal perforator branch, Left anterior descending coronary artery, Leftward QRS axis shift

JOURNAL FREE ACCESS

2003 Volume 67 Issue 10 Pages 885-888

DOI https://doi.org/10.1253/circj.67.885

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Abstract

A patient with non-Q wave myocardial infarction had severe luminal narrowing in the first major septal perforator branch, which arose anomalously from the first diagonal branch. In this case, an exercise ECG showed a transient leftward QRS axis shift. (Circ J 2003; 67: 885 - 888)

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