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

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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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