Akutni infarkt miokarda u 58-godišnje žene s anomalnim polazištem lijeve koronarne arterije iz desnog Valsalvina sinusa
| Autor: | Vincelj, Josip, Jakšić Jurinjak, Sandra, Milevoj Križić, Kristina, Lisičić, Ante |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Acta clinica Croatica Volume 61. Issue 4 |
| ISSN: | 1333-9451 0353-9466 |
| Popis: | We report a case of a 58-year-old female with a history of hypertension, hypercholesterolemia and diabetes type 2, who was admitted to the coronary care unit with continuous substernal severe chest pain persisting for two hours. Her electrocardiogram showed ST-elevation acute myocardial infarction. ST-segment elevation was noted in leads I and aVL and ST-segment depression in leads II, III and V3-V5. The troponin-I level was elevated (1.97 ng/L). Coronary angiography showed anomalous origin of the left coronary artery from the right sinus of Valsalva and subocclusion in the proximal portion of the diagonal branch. In conclusion, primary percutaneous coronary intervention (PCI) of diagonal branch was performed with balloon dilatation and thrombolysis in myocardial infarction TIMI 3 flow was achieved. After PCI, she had no chest pain. At 5-year clinical follow-up, the patient was asymptomatic. Prikazujemo slučaj 58-godišnje žene koja boluje od hipertenzije, hiperkolesterolemije i dijabetesa melitusa tip 2 te koja je primljena u koronarnu jedinicu s bolovima u prsima u trajanju od dva sata. Elektrokardiogram je pokazivao infarkt miokarda sa ST elevacijom. Elevacija ST-segmenta bila je prisutna u I odvodu i aVL odvodu, a depresija ST-segmenta u odvodima II, III i V3-V5. Zabilježene su povišene vrijednosti troponina-I (1,97 ng/L). Koronarografija je pokazala anomalno polazište lijeve koronarne arterije iz desnog Valsalvina sinusa i subokluziju u proksimalnom dijelu dijagonalne grane. U zaključku, primarna perkutana intervencija (PCI) dijagonalne grane izvedena je balonskom dilatacijom uz postignut TIMI 3 protok. Nakon PCI bolesnica je bez bolova i u kliničkom praćenju od pet godina asimptomatska. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|