A Cardiogenic Shock due to an Acute MI with LCA Arising from the Right Coronary Sinus Successfully Treated with PCI

Coronary artery anomalies (CAAs) are a diverse group of congenital anomalies with an incidence ranging from 0.17% in autopsy cases to 1.2% in patients undergoing coronary angiography. The left coronary artery (LCA) originating from the right coronary sinus is a very rare CAA with a frequency of 0.03...

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Main Authors: Rayyan Jadeed, Klaus Pethig, Dirk Böcker
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/2018268
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author Rayyan Jadeed
Klaus Pethig
Dirk Böcker
author_facet Rayyan Jadeed
Klaus Pethig
Dirk Böcker
author_sort Rayyan Jadeed
collection DOAJ
description Coronary artery anomalies (CAAs) are a diverse group of congenital anomalies with an incidence ranging from 0.17% in autopsy cases to 1.2% in patients undergoing coronary angiography. The left coronary artery (LCA) originating from the right coronary sinus is a very rare CAA with a frequency of 0.03%. We present a very rare case of a cardiogenic shock as a consequence of an acute anterolateral myocardial infarction by a totally occlusive lesion in the long left main stem with a complete LCA arising from the right coronary sinus in an 85-year-old female. This lesion was successfully treated with 2 drug-eluting stents. This is perhaps the first published case about cardiogenic shock due to an acute myocardial infarction associated with this type of coronary anomalies, and it presents a special challenge in the catheter laboratory.
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spelling doaj-art-8dc5b0e7bf46482cb021a1b1aaaebfe02025-08-20T03:37:56ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/20182682018268A Cardiogenic Shock due to an Acute MI with LCA Arising from the Right Coronary Sinus Successfully Treated with PCIRayyan Jadeed0Klaus Pethig1Dirk Böcker2Department of Cardiology, St. Marien Hospital, Hamm, GermanyDepartment of Cardiology, St. Marien Hospital, Hamm, GermanyDepartment of Cardiology, St. Marien Hospital, Hamm, GermanyCoronary artery anomalies (CAAs) are a diverse group of congenital anomalies with an incidence ranging from 0.17% in autopsy cases to 1.2% in patients undergoing coronary angiography. The left coronary artery (LCA) originating from the right coronary sinus is a very rare CAA with a frequency of 0.03%. We present a very rare case of a cardiogenic shock as a consequence of an acute anterolateral myocardial infarction by a totally occlusive lesion in the long left main stem with a complete LCA arising from the right coronary sinus in an 85-year-old female. This lesion was successfully treated with 2 drug-eluting stents. This is perhaps the first published case about cardiogenic shock due to an acute myocardial infarction associated with this type of coronary anomalies, and it presents a special challenge in the catheter laboratory.http://dx.doi.org/10.1155/2019/2018268
spellingShingle Rayyan Jadeed
Klaus Pethig
Dirk Böcker
A Cardiogenic Shock due to an Acute MI with LCA Arising from the Right Coronary Sinus Successfully Treated with PCI
Case Reports in Cardiology
title A Cardiogenic Shock due to an Acute MI with LCA Arising from the Right Coronary Sinus Successfully Treated with PCI
title_full A Cardiogenic Shock due to an Acute MI with LCA Arising from the Right Coronary Sinus Successfully Treated with PCI
title_fullStr A Cardiogenic Shock due to an Acute MI with LCA Arising from the Right Coronary Sinus Successfully Treated with PCI
title_full_unstemmed A Cardiogenic Shock due to an Acute MI with LCA Arising from the Right Coronary Sinus Successfully Treated with PCI
title_short A Cardiogenic Shock due to an Acute MI with LCA Arising from the Right Coronary Sinus Successfully Treated with PCI
title_sort cardiogenic shock due to an acute mi with lca arising from the right coronary sinus successfully treated with pci
url http://dx.doi.org/10.1155/2019/2018268
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