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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
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Percutaneous coronary intervention for acute myocardial infarction in a single coronary artery anomaly

Tchavdar N Shalganov1

  • 1Cardiology Department, National Heart Hospital, 65, Koniovitsa Street, 1309 Sofia, Bulgaria. tchavdar.shalganov@gmail.com

Clinical Cardiology
|October 10, 2009
PubMed

Insights

This case study highlights a successful transradial percutaneous coronary intervention for acute myocardial infarction in a patient with a rare single coronary artery anomaly. The procedure demonstrated safety and feasibility even in complex emergent situations.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Coronary artery anomalies are rare congenital conditions that can predispose individuals to myocardial infarction.
  • Acute myocardial infarction (MI) in the context of anomalous coronary arteries presents unique diagnostic and therapeutic challenges.

Observation:

  • A case of an adult male presenting with acute myocardial infarction (MI) in the left anterior descending artery (LAD) territory due to thrombotic occlusion.
  • Coronary angiography revealed a rare single coronary artery originating from the right coronary sinus with an intertruncal course.

Findings:

  • Successful transradial percutaneous coronary intervention (PCI) with intracoronary stent implantation was performed in the occluded LAD.
  • The patient experienced post-procedural complications including ventricular tachycardia, congestive heart failure, and transient renal failure.

Implications:

  • Transradial PCI is a safe and feasible approach for managing acute MI in patients with rare coronary artery anomalies, even in emergent settings.
  • The presence of an anomalous coronary artery should not preclude intervention when indicated for acute coronary syndromes.

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