Successful Primary Percutaneous Coronary Intervention in a Patient With Acute Myocardial Infarction and Single Coronary Artery Ostium

Kim, Donghan; Jeong, Myung Ho; Lee, Ki Hong; Lee, Min Goo; Park, Keun-Ho; Sim, Doo Sun; Yoon, Nam Sik; Yoon, Hyun Ju; Kim, Kye Hun; Hong, Young Joon; Kim, Ju Han; Cho, Jeong Gwan; Park, Jong Chun; Kang, Jung Chaee

doi:10.4070/kcj.2012.42.4.284

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…Such events usually occur during or shortly after vigorous exertion (5). There are several hypotheses regarding the poor prognosis associated with anomalous left coronary arteries originating from the RSV.…”

Section: Discussionmentioning

confidence: 99%

Anomalous Origin of the Left Circumflex Artery from the Right Sinus of Valsalva: Non-ST-segment Elevation Myocardial Infarction

et al. 2015

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An anomalous origin of the left coronary artery from the right sinus of Valsalva (RSV) is rare. We herein report the case of an 80-year-old woman who presented to the emergency department with chest pain. Emergent coronary angiography was performed following a diagnosis of non-ST segment elevation myocardial infarction. A right coronary angiogram showed that the common trunk originating from the RSV branched into the left anterior descending and right coronary arteries. Although the initial angiogram failed to show the left circumflex artery (LCx), considered to be the culprit vessel, computed tomographic angiography demonstrated that the LCx was located immediately below the common trunk and exhibited a retroaortic course. We successfully treated the patient and obtained optimal angiography results.

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Section: Discussionmentioning

confidence: 99%

Anomalous Origin of the Left Circumflex Artery from the Right Sinus of Valsalva: Non-ST-segment Elevation Myocardial Infarction

et al. 2015

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“…5 There were few previously reported cases, in which single coronary artery was incidentally diagnosed during evaluation for angina or as non IRA during coronary intervention. [6][7][8] Unlike the previous report, this case is the first one in which primary PCI was successfully performed at abnor- that the RCA would be IRA. 12 According to this algorithm, RCA was strongly suspected as the IRA in this case (Fig.…”

Section: Discussionmentioning

confidence: 50%

Missing Right Coronary Artery in a Patient with Acute Inferior ST Segment Elevation Myocardial Infarction: A Case of Extremely Rare Variation of Coronary Anatomy

Lee

Suh

Yoon

et al. 2015

J Lipid Atheroscler

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This is an Open Access article distributed under the terms of the creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. We recently encountered an interesting case of acute inferior ST segment elevation myocardial infarction (STEMI). This patient had a rare anatomic variation, single coronary artery. The right coronary artery originate from the left circumflex proper artery, not from aorta, was totally obstructed with thrombi. Though it took more time to figure out the patient's coronary anatomy and the culprit lesion, we successfully performed primary percutaneous coronary intervention within the guideline-recommended time period. We performed left coronary angiography at the beginning. This strategy could be helpful in determining the culprit lesion and preventing unnecessary procedural delay in acute inferior STEMI.

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“…Of note, data from other case series show that a CAA presenting with acute coronary syndrome, such as in our patient, is a rare finding and is more frequently associated with the malignant trajectory of the LMCA between the ascending aorta and the pulmonary trunk. Approximately half of the patients with this anomaly experience fatal events before 20 years of age [ 11 ]. The mechanisms responsible for ischemia in this variant include a smaller size and a slit-like opening of the anomalous coronary artery ostium, an intramural course, and the expansion of great vessels during exercise, which can dynamically occlude the LMCA [ 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

A Coronary Artery Anomaly Presenting as Acute Coronary Syndrome: A Case Report

et al. 2021

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Patient: Male, 47-year-old Final Diagnosis: Coronary artery anomalies Symptoms: Chest discomfort Medication:— Clinical Procedure: — Specialty: Cardiac Surgery • Cardiology Objective: Congenital defects/diseases Background: Coronary artery anomalies (CAAs) are rare congenital malformations with different clinical presentations and pathophysiological mechanisms. These anomalies are frequently the cause of sudden death in young patients. Most CAAs are incidental findings owing to the lack of symptoms; however, they may be associated with acute coronary syndrome in rare cases. Case Report: We describe the case of a 47-year-old man who presented with a 1-day history of progressive typical chest pain and elevated troponin levels. The patient underwent a coronary angiography, which unveiled the anomalous origin of the left main coronary artery arising from the right coronary artery, with an interarterial course between the ascending aorta and the pulmonary artery, without coronary artery disease. Coronary computed tomography angiography confirmed the CAA and its relationship with the symptoms. An uneventful coronary artery bypass graft was undertaken, and at the 1-year follow-up, the patient was asymptomatic, with a normal stress test. Conclusions: This case depicts the presentation of atypical acute coronary syndrome in a young patient with a rare CAA. In such patients, coronary angiography and coronary computed tomography angiography are essential tools to confirm the diagnosis and to determine treatment. Although controversial, in young individuals presenting CAA with an interarterial course, such as the left main coronary artery arising from the right coronary artery, coronary artery bypass graft may be an important treatment option to avoid sudden death in the future.

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Successful Primary Percutaneous Coronary Intervention in a Patient With Acute Myocardial Infarction and Single Coronary Artery Ostium

Cited by 5 publications

References 17 publications

Anomalous Origin of the Left Circumflex Artery from the Right Sinus of Valsalva: Non-ST-segment Elevation Myocardial Infarction

Anomalous Origin of the Left Circumflex Artery from the Right Sinus of Valsalva: Non-ST-segment Elevation Myocardial Infarction

Missing Right Coronary Artery in a Patient with Acute Inferior ST Segment Elevation Myocardial Infarction: A Case of Extremely Rare Variation of Coronary Anatomy

A Coronary Artery Anomaly Presenting as Acute Coronary Syndrome: A Case Report

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