[Show abstract][Hide abstract] ABSTRACT: We describe the case of a 50-year-old male patient urgently transferred to our institution from a peripheral hospital to perform primary angioplasty because of an acute myocardial infarction. The ECG showed atrial fibrillation and ST-segment elevation in both inferior and anterolateral leads. The coronary angiography showed a very slow distal run-off of contrast medium in the distal left anterior descending coronary artery and an acute thrombotic occlusion of the right coronary artery, which arose from the left sinus of Valsalva. We discuss the frequency of anomalous right coronary artery, some procedural aspects and the correlation between the ECG and the coronary angiography.
No preview · Article · Oct 2010 · Journal of Cardiovascular Medicine
[Show abstract][Hide abstract] ABSTRACT: A 65-year-old man with stable angina refractory to medical therapy and with a low-threshold myocardial ischemia at ECG stress testing was referred for coronary angiography. The coronary angiogram showed an ostial subocclusive stenosis of a developed first diagonal branch located just upstream of a subocclusive stenosis of the mid left anterior descending (LAD) coronary artery, occluded distally, and a coronary collateral for LAD from a developed right ventricular branch arising with separate ostia from the right sinus of Valsalva. We discuss the diagnostic interpretation of this coronary anomaly and some aspects regarding the percutaneous treatment of bifurcations.
No preview · Article · Sep 2009 · Journal of Cardiovascular Medicine