2014
DOI: 10.14503/thij-13-3872
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Incidental Diagnosis of a Double Aortic Arch during an Acute Myocardial Infarction

Abstract: A 65-year-old previously asymptomatic woman with a history of tobacco use presented after experiencing an hour of chest pain and syncope. A 12-lead electrocardiogram revealed an inferior ST-elevation myocardial infarction. Coronary angiography revealed an acute thrombotic occlusion of the right coronary artery (Fig. 1); however, there was difficulty in maneuvering diagnostic catheters to the coronary ostia. Subsequent aortography revealed a double aortic arch (Fig. 2). After

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