Double the Trouble - One Infarction After Another: A Case Report of Two Consecutive ST-Segment Elevation Myocardial
Zineb Agoumy1, Kaoutar Berrag1, Aida Soufiani1
1Cardiology A, Ibn Sina Hospital, Rabat, MAR.
Insights
This case report details a rare instance of two ST-segment elevation myocardial infarctions (STEMI) occurring sequentially in different coronary arteries within days. Such rapid recurrence in patients with multi-vessel coronary artery disease indicates a very poor prognosis.
Area of Science:
- Cardiology
- Vascular Medicine
- Interventional Cardiology
Background:
- Multi-vessel coronary artery disease presents complex challenges in treatment.
- Concomitant ST-segment elevation myocardial infarction (STEMI) in simultaneous, separate culprit lesions is exceptionally rare.
- Short-term recurrence of STEMI in a different coronary artery is also infrequently observed.
Abstract:
In multi-vessel coronary artery disease, concomitant ST-segment elevation myocardial infarction (STEMI) in simultaneous two culprit lesions have been rarely reported. In this regard, the recurrence in a short period of time of a STEMI in a different coronary artery is also rare. We describe the case of a 56-year-old male smoker, who was presented with an anterior STEMI. The coronary angiography demonstrated a significant lesion in the left main coronary (LMC) and an occlusion of the left anterior descending artery (LAD), and was referred for surgery. Four days later, he experienced symptoms of acute ischemia of the inferior territory. A newly formed culprit lesion of the circumflex artery (Cx) was detected and benefited from angioplasty. The patient expired the next day from sudden arrythmia. This case report shows two consecutive STEMI situations in separate coronary arteries, which commonly can occur in atherosclerotic patients with very poor prognosis.
