Acta clinica Croatica, Vol. 61. No. 4, 2022.
Book review
https://doi.org/10.20471/acc.2022.61.04.17
Acute Myocardial Infarction in a 58-Year-Old Female with Anomalous Origin of the Left Coronary Artery from the Right Sinus of Valsalva
Josip Vincelj
orcid.org/0000-0003-0064-9128
; Department of Cardiovascular Diseases, Dubrava University Hospital, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia
Sandra Jakšić Jurinjak
orcid.org/0000-0002-7349-6137
; Department of Cardiovascular Diseases, Dubrava University Hospital, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia; School of Medicine, University of Zagreb
Kristina Milevoj Križić
; Bjelovar General Hospital, Bjelovar, Croatia
Ante Lisičić
; Department of Cardiovascular Diseases, Dubrava University Hospital, Zagreb, Croatia
Abstract
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.
Keywords
Coronary artery anomaly; Myocardial infarction; Percutaneous coronary intervention
Hrčak ID:
301979
URI
Publication date:
1.12.2022.
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