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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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Think outside the coronary artery: Extremely rare case of STEMI in young man

Vilhelmas Bajoras1,2,3, Žymantas Jagelavičius1,2, Giedrė Balčiūnaitė1,2

  • 1The Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Echocardiography (Mount Kisco, N.Y.)
|September 12, 2021
PubMed

Insights

A rare case of acute myocardial infarction caused by a bronchogenic cyst highlights the need for prompt intervention. This condition, usually chronic, can present acutely, requiring urgent coronary procedures and imaging for effective management.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Medical Imaging

Background:

  • Bronchogenic cysts are typically chronic congenital lung abnormalities.
  • External compression of coronary arteries by bronchogenic cysts is exceedingly rare.
  • Such compression can lead to acute myocardial ischemia and infarction.

Observation:

  • A case of acute myocardial infarction (heart attack) was directly linked to a bronchogenic cyst.
  • The cyst externally compressed a coronary artery, causing severe myocardial ischemia.

Findings:

  • Bronchogenic cysts, usually chronic, can present acutely and dangerously.
  • This case demonstrates a life-threatening manifestation of a typically benign condition.

Implications:

  • Urgent invasive coronary intervention is vital for acute management.
  • Multimodality imaging is essential for diagnosing and managing the underlying bronchogenic cyst.

Keywords:
STEMIbronchogenic cystmediastinal massestransesophageal echocardiography

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