Acute STEMI in a single coronary artery type R-III

Focus on diagnosis and treatment of a rare variant

M. Sudhakar Rao, Tom Devasia, Hashir Kareem, Tejasvini Vaid

Research output: Contribution to journalArticle

Abstract

A 61 year-old-man on treatment for type II diabetes mellitus presented to the emergency with rest angina. Electrocardiogram and troponin T were suggestive of an acute inferior wall myocardial infarction and the patient was taken up for primary percutaneous intervention (PCI) immediately. When the ostium of the left coronary artery couldn't be located on angiogram, aortography was done and revealed a common trunk arising from the right coronal sinus giving rise to the right coronary artery, an anomalous left coronary artery and an anomalous left circumflex artery. The anomalous branches were however not the culprit artery and the thrombus in the mid RCA responsible for the myocardial infarction was stented. MDCT done later proved the coronary artery anomaly to be of Type RIII with a dangerous inter-arterial course of the left anterior descending. The case report discussed the diagnostic modalities for accurate diagnosis and management options for this variant.

Original languageEnglish
Pages (from-to)1142-1147
Number of pages6
JournalResearch Journal of Pharmaceutical, Biological and Chemical Sciences
Volume7
Issue number4
Publication statusPublished - 01-07-2016

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Troponin T
Medical problems
Electrocardiography
Coronary Vessels
Inferior Wall Myocardial Infarction
Arteries
Aortography
Therapeutics
Type 2 Diabetes Mellitus
Angiography
Emergencies
Thrombosis
Myocardial Infarction
ST Elevation Myocardial Infarction

All Science Journal Classification (ASJC) codes

  • Biochemistry, Genetics and Molecular Biology(all)
  • Pharmacology, Toxicology and Pharmaceutics(all)

Cite this

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abstract = "A 61 year-old-man on treatment for type II diabetes mellitus presented to the emergency with rest angina. Electrocardiogram and troponin T were suggestive of an acute inferior wall myocardial infarction and the patient was taken up for primary percutaneous intervention (PCI) immediately. When the ostium of the left coronary artery couldn't be located on angiogram, aortography was done and revealed a common trunk arising from the right coronal sinus giving rise to the right coronary artery, an anomalous left coronary artery and an anomalous left circumflex artery. The anomalous branches were however not the culprit artery and the thrombus in the mid RCA responsible for the myocardial infarction was stented. MDCT done later proved the coronary artery anomaly to be of Type RIII with a dangerous inter-arterial course of the left anterior descending. The case report discussed the diagnostic modalities for accurate diagnosis and management options for this variant.",
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Acute STEMI in a single coronary artery type R-III : Focus on diagnosis and treatment of a rare variant. / Rao, M. Sudhakar; Devasia, Tom; Kareem, Hashir; Vaid, Tejasvini.

In: Research Journal of Pharmaceutical, Biological and Chemical Sciences, Vol. 7, No. 4, 01.07.2016, p. 1142-1147.

Research output: Contribution to journalArticle

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