ACUTE MYOCARDIAL INFARCTION IN A 58-YEAR-OLD FEMALE WITH ANOMALOUS ORIGIN OF THE LEFT CORONARY ARTERY FROM THE RIGHT SINUS OF VALSALVA

被引：0

作者：

Vincelj, Josip ^{[1
,2
,5
]}

Jurinjak, Sandra Jaksic ^{[1
,2
,3
]}

Krizic, Kristina Milevoj ^{[4
]}

Lisicic, Ante ^{[1
]}

机构：

[1] Dubrava Univ Hosp, Dept Cardiovasc Dis, Zagreb, Croatia

[2] Univ Appl Hlth Sci, Zagreb, Croatia

[3] Univ Zagreb, Sch Med, Zagreb, Croatia

[4] Bjelovar Gen Hosp, Bjelovar, Croatia

[5] NovaMed, Hlth Ctr, Ave V Holjevca 23, HR-10010 Zagreb, Croatia

来源：

ACTA CLINICA CROATICA | 2022年 / 61卷 / 04期

关键词：

Coronary artery anomaly; Myocardial infarction; Percutaneous coronary intervention;

D O I：

10.20471/acc.2022.61.04.17

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a case of a 58-year-old female with a history of hypertension, hypercho-lesterolemia and diabetes type 2, who was admitted to the coronary care unit with continuous subster-nal severe chest pain persisting for two hours. Her electrocardiogram showed ST-elevation acute myo-cardial 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.

引用

页码：703 / 706

页数：4

共 8 条

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