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Single coronary artery presenting with cardiogenic shock due to acute myocardial infarction

Bilal Geyik1, Ozcan Ozeke, Bulent Deveci

  • 1Department of Cardiology, Yuksek Ihtisas Hospital, Ankara, Turkey.

The International Journal of Cardiovascular Imaging
|December 24, 2005
PubMed

Insights

Percutaneous coronary revascularization can fail due to anomalous coronary arteries. A patient with acute myocardial infarction experienced failed angioplasty but succeeded with emergency coronary artery bypass graft surgery.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Percutaneous coronary revascularization is a key treatment for acute coronary syndrome.
  • Anomalous coronary arteries can present unpredictable challenges during interventions.
  • The left main coronary artery typically arises from the left aortic sinus.

Observation:

  • A 33-year-old male presented with acute myocardial infarction and cardiogenic shock.
  • He had an anomalous left main coronary artery originating from the right coronary sinus.
  • Coronary angioplasty of the left anterior descending artery was attempted.

Findings:

  • The coronary angioplasty procedure for the left anterior descending artery failed.
  • The anomalous coronary artery anatomy complicated the percutaneous intervention.
  • Successful emergency coronary artery bypass graft surgery was subsequently performed.

Implications:

  • Anatomical variations in coronary arteries require careful pre-procedural assessment.
  • Interventional strategies may need to be adapted for anomalous coronary arteries.
  • Coronary artery bypass graft surgery remains a viable option when angioplasty is not feasible.

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