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The left main coronary artery arises from above the left portion of the aortic valve and then usually divides into two branches, known as the left anterior descending (LAD) and the circumflex (Circ) coronary arteries. In some patients, a third branch arises in between the LAD and the Circ.
Get help from a doctor now âº. Blood flow: Reversible ischemia means that an area of your heart muscle is not getting adequate blood flow (at times) but then the blood flow catches up (i.e. Reversible). The lad is the left anterior descending coronary artery-it's an important blood vessel.educed blood supply: Ischemia means reduced blood supply to a part or muscle. The lad refers to one wall of the heart. This means you should follow up with your doctor or a cardiologist. You are at risk for heart disease, but it doesn't tell you how great is the risk.