Double right coronary artery presenting with acute myocardial infarction

Myocardial infarction is being found increasingly in younger individuals. We present a case of a 32-year-old male who sustained myocardial infarction and received thrombolytic therapy. Coronary angiogram showed no coronary obstruction, but an unusual coronary anomaly was diagnosed. We review the causes of myocardial infarction in young persons, and discuss whether this coronary anomaly can explain why he had myocardial infarction