Cardiologist Questions Cardiologist

Diminutive circumflex artery?

What is a “diminutive circumflex artery”? Is a diminutive LCX and slightly enlarged RT ventricle cause for concern? No plaque build-up was visible in the test. The doctor diagnosed PVC’s but the other findings were never discussed with me at all. It’s been over 3 years and neither the original chest pain nor PVC’s have ever stopped.

Female | 41 years old
Complaint duration: 3+ years
Medications: Plaquenil, Gabapentin, Imitrex,
Conditions: Lupus SLE, Migranes

2 Answers

Everyone has anatomical variance of the size major and minor branches. If one vessel is diminutive it just means another artery is bigger to make up the difference. The cath is done to make sure reduced blood flow is not the cause of the heart irritability.The PVCs are an abnormal electrical discharge. In your case, with normal pump function and normal blood flow you may need to be treated (beta blockers, anti-arrhythmic drugs). Would make sure your potassium , magnesium and thyroid levels are normal. A dilated RV may be due to high pressures on the right side of your heart due to COPD, sleep apnea, pulmonary hypertension.
A diminutive circumflex artery is a subjective way of describing the left circumflex artery. Your doctor should tell you if this means the size of the artery is small because you were born that way or if it is small because there is a plaque in the artery. There are many reasons for the
enlarged right ventricle. If you are still having symptoms you should have another consultation.