Management of subacute myocardial infarction in a patient with left coronary artery originating from the right coronary artery / 南方医科大学学报
Journal of Southern Medical University
;
(12): 1295-1297, 2011.
Article
Dans Anglais
| WPRIM
| ID: wpr-235139
ABSTRACT
Although the majority of coronary artery anomalies are found incidentally and not clinically significant, the interarterial course between the major vessels of the aberrant artery may be responsible for syncope, angina, arrhythmias or sudden death. There are only a few case reports describing the origination of all the coronary arteries from a single ostium. This anomaly occurs in only 0.024%-0.044% of the population. Left coronary artery originating from the right coronary is a rare coronary abnormality. Here we report a case of acute myocardial infarction in a patient with anomalous left coronary artery originating from the right coronary artery, as was confirmed by computerized tomography angiogram, which showed that only one single coronary artery stem originating from the right sinus of Valsalva trifurcated into a right coronary artery, left circumflex artery and a hypoplastic left anterior descending artery. Subsequent percutaneous coronary intervention (PCI) procedures were performed successfully. PCI procedures should be carried out with great caution in such cases, and this condition should be managed as a left main lesion.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Thérapeutique
/
Imagerie diagnostique
/
Coronarographie
/
Anomalies congénitales des vaisseaux coronaires
/
Intervention coronarienne percutanée
/
Méthodes
/
Infarctus du myocarde
Type d'étude:
Etude diagnostique
Limites du sujet:
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Journal of Southern Medical University
Année:
2011
Type:
Article
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