1. 'Missing' coronary arteries at urgent coronary angiography for ST-elevation myocardial infarction.
- Author
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Zimarino M, Barnabei L, and De Caterina R
- Subjects
- Aged, Angioplasty, Balloon, Coronary instrumentation, Coronary Stenosis complications, Coronary Stenosis therapy, Coronary Vessel Anomalies complications, Humans, Male, Middle Aged, Myocardial Infarction etiology, Myocardial Infarction therapy, Stents, Treatment Outcome, Coronary Angiography, Coronary Stenosis diagnostic imaging, Coronary Vessel Anomalies diagnostic imaging, Myocardial Infarction diagnostic imaging
- Abstract
Coronary artery anomalies are a rare and often occasional finding at coronary angiography. When patients with ST-elevation myocardial infarction (STEMI) undergo angiography preliminary to a primary percutaneous coronary intervention, a 'missing' coronary artery is usually ascribed to the culprit occluded vessel.Two patients with inferior STEMI were admitted to our cath lab for a primary percutaneous coronary intervention; in both cases an anomalous origin of the left coronary system--partially in one, entirely in the another--from the opposite sinus was documented at urgent angiography. The knowledge and the identification of coronary artery anomalies have extreme clinical relevance in urgent angiography for STEMI patients.
- Published
- 2010
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