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

https://hrcak.srce.hr/301979

Publication date:

1.12.2022.

Article data in other languages: croatian

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