ANOMALOUS ORIGIN OF THE EPICARDIAL LEFT CORONARY ARTERY FROM THE RIGHT CORONARY SINUS REVEALED IN A PATIENT PRESENTING WITH ACUTE MYOCARDIAL INFARCTION
Abstract
An 84-year-old lady presented with history of syncope and a transient loss of consciousness proceeded by severe chest pain to accident and emergency. Electrocardiogram (ECG) revealed anterolateral ST elevation. She had an emergency coronary angiogram revealing an anomalous left coronary artery with severe tortuosity and occlusion at mid segment. During the course of the angiogram she became asymptomatic and TIMI flow spontaneously restored. These findings were discussed with the patient and she opted for medical management understanding that it would be difficult to negotiate the tortuosity. On follow up she remained well with optimal anti-anginal treatment
Keywords: Myocardial infacrtion, anomalous, angiography, coronary artery
References
Tuo G, Marasini M, Brunelli C, Zannini L, Balbi M. Incidence and clinical relevance of primary congenital anomalies of the coronary arteries in children and adults. Cardiol Young 2013;23(3):381-6.
Angelini P, Fairchild VD, eds. Coronary Artery Anomalies: A Comprehensive Approach. Philadelphia, PA: Lippincott Williams & Wilkins; 1999.
Maron BJ. Sudden death in young athletes. N Engl J Med 2003;349(11):1064-75.
Angelini P, Velasco JA, Flamm S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation 2002;105(20):2449-54.
Wilkins CE, Betancourt B, Mathur VS, Massumi A, De Castro CM, Garcia E, et al. Coronary artery anomalies: a review of more than 10 000 patients from the Clayton Cardiovascular Laboratories. Tex Heart Inst J 1998;15(3):166-73.
Eckart RE, Scoville SL, Campbell CL, Shry EA, Stajduhar KC, Potter RN, et al. Sudden death in young adults: a 25-year review of autopsies in military recruits. Ann Intern Med. 2004;141:829-34.
Angelini P. Coronary artery anomalies: an entity in search of an identity. Circulation 2007;115(10):1296-305.
Downloads
Published
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
