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Clinics and Practice
Volume 1
Issue 4
10.4081/cp.2011.e107
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Coronary Artery Anomalies Presenting with St-segment Elevation Myocardial Infarction

by
Jlenia Marchesini
1,
Gianluca Campo
1,*,
Riccardo Righi
2,
Giorgio Benea
2 and
Roberto Ferrari
1
1
Cardiovascular Institute, Azienda Ospedaliero-Universitaria S. Anna, Ferrara and Cardiovascular Research Centre, Salvatore Maugeri Foundation, IRCCS, Lumezzane (BS) and LTTA Center, Ferrara, Italy
2
U.O. di Diagnostica per immagini e Radiologia Interventistica, Ospedale del Delta, Lagosanto, Ferrara, Italy
*
Author to whom correspondence should be addressed.
Clin. Pract. 2011, 1(4), e107; https://doi.org/10.4081/cp.2011.e107
Submission received: 19 September 2011 / Revised: 11 October 2011 / Accepted: 24 October 2011 / Published: 8 November 2011

Abstract

ST-segment elevation MI (STEMI) is a rare presentation in patients with coronary artery anomalies. In these patients, the identification of the culprit lesion and its treatment may be difficult, particularly in the emergency setting of primary percutaneous coronary intervention (PCI). From January 2008 to April 2011, 1015 STEMI patients received coronary artery angiography and primary PCI in our centre. Of these, 5 (0.4%) patients showed a coronary artery anomaly. In this paper we reported two rare cases: i) the first is a single coronary artery originating from right sinus of Valsalva; ii) the second is a separate origin of 3 coronary arteries originating from the right sinus of Valsalva. In conclusion, coronary artery anomalies presenting with STEMI are really uncommon, but often are a challenge. The integration between traditional coronary artery angiography and multidetector computerized tomography is crucial to optimize the interventional and medical management of these patients.
Keywords: coronary artery anomalies; myocardial infarction; primary percutaneous coronary intervention; multidetector computerized tomography coronary artery anomalies; myocardial infarction; primary percutaneous coronary intervention; multidetector computerized tomography

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MDPI and ACS Style

Marchesini, J.; Campo, G.; Righi, R.; Benea, G.; Ferrari, R. Coronary Artery Anomalies Presenting with St-segment Elevation Myocardial Infarction. Clin. Pract. 2011, 1, e107. https://doi.org/10.4081/cp.2011.e107

AMA Style

Marchesini J, Campo G, Righi R, Benea G, Ferrari R. Coronary Artery Anomalies Presenting with St-segment Elevation Myocardial Infarction. Clinics and Practice. 2011; 1(4):e107. https://doi.org/10.4081/cp.2011.e107

Chicago/Turabian Style

Marchesini, Jlenia, Gianluca Campo, Riccardo Righi, Giorgio Benea, and Roberto Ferrari. 2011. "Coronary Artery Anomalies Presenting with St-segment Elevation Myocardial Infarction" Clinics and Practice 1, no. 4: e107. https://doi.org/10.4081/cp.2011.e107

APA Style

Marchesini, J., Campo, G., Righi, R., Benea, G., & Ferrari, R. (2011). Coronary Artery Anomalies Presenting with St-segment Elevation Myocardial Infarction. Clinics and Practice, 1(4), e107. https://doi.org/10.4081/cp.2011.e107

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