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
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- EP ID EP344097
- DOI 10.9734/CA/2015/17719
- Views 90
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