Successful primary percutaneous coronary interventions in a patient with two consecutive ST-segment elevation myocardial infarctions and dual left anterior descending artery (type IV)
Introduction. Dual left anterior descending (LAD) artery is a very rare inherited anomaly. It can be incidentally revealed during primary percutaneous coronary intervention (pPCI) and may produce difficulties in detecting and treating the culprit lesion. Case report. We presented a 52-ye...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2016-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501500130S.pdf |
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| Summary: | Introduction. Dual left anterior descending (LAD) artery is a very rare
inherited anomaly. It can be incidentally revealed during primary
percutaneous coronary intervention (pPCI) and may produce difficulties in
detecting and treating the culprit lesion. Case report. We presented a
52-year-old male patient with ST-segment elevation myocardial infarction
(STEMI) of inferior wall, in whom dual LAD anomaly was revealed during pPCI:
a short LAD artery originated from the left main coronary artery and a long
LAD artery originated from the proximal part of the right coronary artery
(RCA). A bare metal stent was successfully implanted in the place of the
culprit lesion in RCA and ST-segment resolution was achieved in ECG. After
two hours, the patient was referred again to the catheter lab due to new
STEMI of anteroseptal wall. Another bare metal stent was implanted in new
infarction related artery, this time it was proximal part of the short LAD.
Conclusion. Careful and correct interpretation of ECG is very helpful in
detection and treatment of the culprit lesion in cases with dual LAD. |
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| ISSN: | 0042-8450 2406-0720 |