Successful primary percutaneous coronary interventions in a patient with two consecutive ST-segment elevation myocardial infarctions and dual left anterior descending artery (type IV)
| Autor: | Marijan Spasić, Radomir Matunovic, Boris Dzudovic, Slobodan Obradovic, Zoran Jovic, Predrag Djuric, Nemanja Djenic, Sinisa Rusovic, Radoslav Romanovic |
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| Rok vydání: | 2016 |
| Předmět: |
Bare-metal stent
Male Reoperation medicine.medical_specialty medicine.medical_treatment Coronary Vessel Anomalies Myocardial Infarction Infarction Inferior Wall Myocardial Infarction 030204 cardiovascular system & hematology 03 medical and health sciences Electrocardiography 0302 clinical medicine Percutaneous Coronary Intervention Heart Conduction System Internal medicine medicine.artery Medicine Humans Pharmacology (medical) 030212 general & internal medicine Myocardial infarction cardiovascular diseases Anterior Wall Myocardial Infarction coronary vessels congenital abnormalities lcsh:R5-920 Incidental Findings medicine.diagnostic_test business.industry Percutaneous coronary intervention Middle Aged medicine.disease surgical procedures operative Treatment Outcome Right coronary artery Cardiology cardiovascular system Stents Radiology Myocardial infarction diagnosis business lcsh:Medicine (General) |
| Zdroj: | Vojnosanitetski Pregled, Vol 73, Iss 1, Pp 73-76 (2016) |
| ISSN: | 0042-8450 |
| Popis: | Introduction. Dual left anterior descending (LAD) artery is a very rare inherited anomaly. It can be incidentally revealed during primary percutaneous coronary intervention (pPCI) and may produce difficulties in detecting and treating the culprit lesion. Case report. We presented a 52-year-old male patient with ST-segment elevation myocardial infarction (STEMI) of inferior wall, in whom dual LAD anomaly was revealed during pPCI: a short LAD artery originated from the left main coronary artery and a long LAD artery originated from the proximal part of the right coronary artery (RCA). A bare metal stent was successfully implanted in the place of the culprit lesion in RCA and ST-segment resolution was achieved in ECG. After two hours, the patient was referred again to the catheter lab due to new STEMI of anteroseptal wall. Another bare metal stent was implanted in new infarction related artery, this time it was proximal part of the short LAD. Conclusion. Careful and correct interpretation of ECG is very helpful in detection and treatment of the culprit lesion in cases with dual LAD. |
| Databáze: | OpenAIRE |
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