Wrap-around LAD and the role of multimodal imaging
Acute myocardial infarction remains a major cause of morbidity and mortality, with the left anterior descending artery being most commonly implicated. Anatomical variants, such as the “wrap-around” configuration, can significantly influence myocardial perfusion patterns, infarct size, and clinical o...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-07-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325003152 |
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| Summary: | Acute myocardial infarction remains a major cause of morbidity and mortality, with the left anterior descending artery being most commonly implicated. Anatomical variants, such as the “wrap-around” configuration, can significantly influence myocardial perfusion patterns, infarct size, and clinical outcomes, emphasizing the importance of accurate identification in acute coronary syndromes. We present the case of a 72-year-old male with ST-segment elevation myocardial infarction (STEMI), whose initial electrocardiogram indicated an anteroseptal infarction. Due to limited access to catheterization facilities, thrombolytic therapy was administered, achieving successful reperfusion. A subsequent multimodal imaging assessment revealed an atypical infarct distribution and identified a wrap-around left anterior descending artery with critical stenosis, highlighting the variant’s diagnostic and therapeutic relevance in STEMI management and the utility of multimodal imaging. |
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| ISSN: | 1930-0433 |