Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Apr 5;3(3):120-124.
doi: 10.1016/j.case.2019.02.003. eCollection 2019 Jun.

Inferior Wall Myocardial Infarction in the Setting of a High-Risk Anomalous Right Coronary Artery: A Case Report

Samit Shah  1 , Vinh Q Nguyen  1 , Arnar Geirsson  2 , Carlos Mena  1
Affiliations
Case Reports

Inferior Wall Myocardial Infarction in the Setting of a High-Risk Anomalous Right Coronary Artery: A Case Report

Samit Shah et al. CASE (Phila). .
No abstract available

Keywords: Acute coronary syndrome; Coronary angiography; Coronary artery bypass; Coronary vessel anomalies; Myocardial infarction.

PubMed Disclaimer

Figures

None
Graphical abstract
Figure 1
Figure 1
Twelve-lead electrocardiogram. Presenting 12-lead electrocardiography showed 2-mm ST-segment elevation in leads II, III, and aVF as well as reciprocal ST-segment depression in the lateral leads consistent with myocardial infarction in the territory supplied by the RCA.
Figure 2
Figure 2
Retrospective gated CCTA, multiplanar reconstruction, showing anomalous RCA (arrow) from the left cusp with an acute angle takeoff and slitlike orifice (A). Modified left ventricular outflow tract plane revealed an intramural and interarterial course with vessel compression in the systolic phase (static image captured at 40% phase of the cardiac cycle) (B, arrow). Three-dimensional reconstruction with exclusion of the pulmonary trunk confirmed an anomalous origin (C, arrows), which correlated with operative findings that showed an intramural course (D, arrows). Ao, Aorta; PA, pulmonary artery; RAA, right atrial appendage.
Figure 3
Figure 3
Transesophageal echocardiography, midesophageal short-axis view, showing an anomalous RCA arising from the left sinus of Valsalva and with an intramural and interarterial course (A). An “X-plane” cross-sectional view through the aortic root demonstrates an intramural origin within the aortic wall (B). Ao, Aorta; PA, pulmonary artery.
See this image and copyright information in PMC

References

    1. Angelini P., Velasco J.A., Flamm S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation. 2002;105:2449–2454. - PubMed
    1. Lee B.Y. Anomalous right coronary artery from the left coronary sinus with an interarterial course: is it really dangerous? Korean Circ J. 2009;39:175–179. - PMC - PubMed
    1. Greet B., Quinones A., Srichai M., Bangalore S., Roswell R.O. Anomalous right coronary artery and sudden cardiac death. Circ Arrhythm Electrophysiol. 2012;5:e111–e112. - PubMed
    1. Cheezum M.K., Liberthson R.R., Shah N.R., Villines T.C., O'Gara P.T., Landzberg M.J. Anomalous aortic origin of a coronary artery from the inappropriate sinus of Valsalva. J Am Coll Cardiol. 2017;69:1592–1608. - PubMed
    1. Marchesini J., Campo G., Righi R., Benea G., Ferrari R. Coronary artery anomalies presenting with ST-segment elevation myocardial infarction. Clin Pract. 2011;1:e107. - PMC - PubMed

Publication types

LinkOut - more resources