Primary percutaneous coronary intervention on split left coronary artery: Two case reports
Xhevdet Krasniqi1,2, Aurora Bakalli1,2, Hajdin Çitaku2
1Medical Faculty, University of Prishtina "Hasan Prishtina", Prishtine, Republic of Kosova.
Radiology Case Reports
|November 17, 2022
Summary
Split left coronary artery (LCA) is a rare anomaly. Prompt recognition during acute myocardial infarction (AMI) is crucial for successful primary percutaneous coronary intervention (pPCI) and preventing complications.
Area of Science:
- Cardiology
- Interventional Cardiology
- Anatomical Variations
Background:
- Split left coronary artery (LCA) is a rare coronary artery anomaly.
- Failure to recognize LCA anomalies can lead to diagnostic errors and procedural complications, especially during acute myocardial infarction (AMI).
Observation:
- Two cases of split LCA presenting with AMI are reported.
- Patients exhibited ST-segment elevation on ECG and elevated cardiac biomarkers.
- Echocardiography revealed hypokinesis corresponding to the occluded artery territory.
Findings:
- Split LCA was identified during invasive coronary angiography.
- A culprit lesion was found in the left anterior descending artery (LAD).
- Successful primary percutaneous coronary intervention (pPCI) with stenting of the LAD was performed, achieving TIMI flow grade 3.
Implications:
- Early identification of split LCA during AMI is vital for effective primary percutaneous coronary intervention (pPCI).
- Timely diagnosis and treatment of split LCA anomalies can prevent serious clinical consequences and improve patient outcomes.
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