Primary Percutaneous Coronary Intervention in a Patient with Acute Inferior Myocardial Infarction and Agenesis of Right Coronary Artery. "In Search of a Coronary Ostium"
Journal Title: Cardiology and Angiology: An International Journal - Year 2015, Vol 3, Issue 3
Abstract
Coronary arteries with anomalous origin from the aorta may represent a trouble for interventional cardiologist, in particular in setting of acute coronary syndromes. Research of coronary ostium may cause crucial delay in reperfusion with important consequences for myocardial salvage. We described a case of inferior ST-elevation myocardial infarction (STEMI) complicated by bradyarrythmia and hypotension, and treated with primary percutaneous coronary intervention (PCI) in a patient with agenesis of right coronary ostium. The patient had only a single left coronary artery occluded at the distal portion before a bifurcation with a huge branch that encompassed the theoretical territories of right coronary artery.
Authors and Affiliations
Gabriele Giacomo Schiattarella, Fabio Magliulo, Vito Di Palma, Giovanni Esposito, Plinio Cirillo
Keywords
Related Articles
- EP ID EP344097
- DOI 10.9734/CA/2015/17719
- Views 69
- Downloads 0
Anomalous Right Coronary Artery in Stress Cardiomyopathy: Coincidental or Contributory?
We report a case of a 72-year-old female with no known comorbidities who presented with dizziness and dyspnea while exercising on a treadmill. Upon presentation in the hospital, she became hemodynamically unstable with m...
A Non-Atherogenic Cause of Critical Limb Ischemia in a Young Adult
Aim: Atherosclerosis is the most common etiology of obstruction of the arteries leading to limb ischemia. Critical limb ischemia (CLI) in a young adult we need to consider non-atherosclerotic diseases. Case Presentation...
Angiosarcoma of Large Intestine: A Case Report
Angiosarcomas are collectively one of the rare forms of soft tissue neoplasms. That of the large intestine is much rarer. We report a case of large intestinal angiosarcoma. This is a case of a 30-year-old man who present...
Athlete’s Heart with a Systemic Right Ventricle?
Objective: High load of regularly vigorous exercise leads to multiple physiological adaptations. The major cardiovascular effects are hypertrophy and dilation, predominantly of the left ventricle, and bradycardia. Howeve...
Type 2 Diabetes and Myocardial Infarction in Central India: A Study and Review
Background: Clinical experience in specific geo-demographic contexts in diabetes and myocardial infarction (MI) deserves examination in the context of current medical knowledge and redefinition for enlightened evidence b...