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KMID : 1036020150040020131
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지질.동맥경화학회지
2015 Volume.4 No. 2 p.131 ~ p.135
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Missing Right Coronary Artery in a Patient with Acute Inferior ST Segment Elevation Myocardial Infarction: A Case of Extremely Rare Variation of Coronary Anatomy
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Lee Jae-Hyuk
Suh Yong-Sung
Yoon In-Cheol
Jung Yong-Hwan
Choi Sung-Hwa
Cho Yun-Hyeong
Cho Deok-Kyu
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Abstract
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We recently encountered an interesting case of acute inferior ST segment elevation myocardial infarction (STEMI). This patient had a rare anatomic variation, single coronary artery. The right coronary artery originate from the left circumflex proper artery, not from aorta, was totally obstructed with thrombi. Though it took more time to figure out the patient's coronary anatomy and the culprit lesion, we successfully performed primary percutaneous coronary intervention within the guideline-recommended time period. We performed left coronary angiography at the beginning. This strategy could be helpful in determining the culprit lesion and preventing unnecessary procedural delay in acute inferior STEMI.
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KEYWORD
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Coronary vessel anomalies, Myocardial infarction, Percutaneous coronary intervention
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