A unique case of non-ST-elevation myocardial infarction with abnormal origin of left coronary system from the right coronary cusp.
Hamed Bazrafshan DrissiPayman IzadpanahaMehdi BazrafshanMohammad KasaeiAlireza ArjangzadeSajad AmirghofranMohammad KeshavarzAli SafariMohammad MohammadiFoad AmanollahiPublished in: SAGE open medical case reports (2023)
A unique case of non-ST-elevation myocardial infarctionis discussed, in which the left main coronary artery and anomalous coronary artery from the opposite sinus of Valsalva were absent. In this case, the left coronary cusp was blunted, and all three coronary arteries trifurcated from a single ostium in the right coronary cusp. The proximal part of the left anterior descending coronary artery had a trans-septal (intermuscular) course, while the left circumflex coronary artery had a retro-aortic course and severe thrombotic stenosis before the terminal portion. Due to the patient's refusal of coronary artery bypass graft, percutaneous coronary intervention was performed.
Keyphrases
- coronary artery
- pulmonary artery
- percutaneous coronary intervention
- st elevation myocardial infarction
- coronary artery bypass
- coronary artery disease
- st segment elevation myocardial infarction
- acute myocardial infarction
- acute coronary syndrome
- coronary artery bypass grafting
- antiplatelet therapy
- left ventricular
- heart failure
- case report
- atrial fibrillation
- hypertrophic cardiomyopathy
- early onset
- blood flow
- pulmonary hypertension
- ejection fraction