AI Article Synopsis

  • - Coronary artery anomalies (CAAs) are rare heart conditions becoming more commonly diagnosed due to better imaging technology, even in low-resource settings where treatment can be challenging.
  • - A case report describes a 65-year-old man with a heart attack who was found to have a rare condition where his left coronary artery originated abnormally from the right, along with significant blockage in the right coronary artery that was treated with angioplasty and a stent.
  • - The report highlights the importance of recognizing CAAs for proper diagnosis and treatment planning, emphasizing that while less invasive treatment is preferred, surgery may be needed for severe cases; in this situation, the interventions successfully addressed the patient's heart issues.

Article Abstract

Coronary artery anomalies (CAAs) are rare and challenging, with increased diagnoses due to advanced cardiovascular imaging, even in low-income countries where diagnostic and therapeutic approaches can be difficult. This case report details a 65-year-old Black male patient with a history of hypertension and smoking who presented with a myocardial infarction. Despite no significant abnormalities apart from the infarction, invasive coronary angiography revealed a dominant right coronary artery (RCA) and an anomalous left main coronary artery (LMCA) originating from the right coronary sinus, bifurcating into the left anterior descending artery and circumflex artery. An 80% stenotic lesion in the distal RCA was treated with percutaneous transluminal coronary angioplasty (PTCA) and drug-eluting stent implantation. Coronary computed tomography angiography (CCTA) confirmed the findings, detailing the anomalous LMCA's course. This case underscores the rarity and clinical significance of CAAs, particularly an anomalous LMCA with a septal course, as a diagnostic challenge and the impact of course study on therapeutic decision-making. While conservative treatment is generally recommended, surgical intervention may be necessary for high-risk cases. For this patient, the current myocardial infarction was due to atherosclerotic disease in the RCA, effectively treated with PTCA and stent placement. The percutaneous treatment of RCA stenosis, despite the anomalous LMCA without significant atherosclerosis, appears to be effective and safe.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662228PMC
http://dx.doi.org/10.7759/cureus.74130DOI Listing

Publication Analysis

Top Keywords

coronary artery
16
myocardial infarction
12
coronary
10
anomalous left
8
originating coronary
8
coronary sinus
8
anomalous lmca
8
artery
6
anomalous
5
left coronary
4

Similar Publications

Importance: Drug-coated balloon (DCB) angioplasty has emerged as an alternative to drug-eluting stent (DES) implantation for percutaneous coronary intervention (PCI) in patients with coronary in-stent restenosis (ISR) as well as de novo coronary artery disease.

Observations: DCBs are balloons coated with antiproliferative agents and excipients, whose aim is to foster favorable vessel healing after appropriate lesion preparation. By providing homogeneous antiproliferative drug delivery in the absence of permanent foreign body implantation, DCBs offer multiple advantages over DES, including preservation of vessel anatomy and function and positive vessel remodeling.

View Article and Find Full Text PDF

Background: The role of NT-proBNP as a cardiac biomarker for predicting short-term major adverse cardiovascular events (MACEs) in acute coronary syndrome (ACS) remains unclear.

Aims: This study investigated the utility of the NT-proBNP level for predicting MACEs within a 6-month period in patients with ACS.

Methods: This prospective study included 241 consecutively enrolled adults with ACS between September 2023 and February 2024.

View Article and Find Full Text PDF

Purpose: This study aimed to systematically review the cost-effectiveness of rivaroxaban plus aspirin (RIV + ASA) versus aspirin (ASA) alone in patients with stable coronary artery disease (CAD) or peripheral artery disease (PAD).

Methods: A systematic review was conducted using leading databases including PubMed, Scopus, and Web of Science core collection. The search was carried out up to June 25, 2024, focusing on identifying full economic evaluation studies comparing the cost-effectiveness of RIV + ASA versus ASA alone in patients with stable cardiovascular diseases (CVDs).

View Article and Find Full Text PDF

Introduction: Asthma is a complex condition characterized by airway inflammation. Interleukin-6 (IL-6) plays a significant role in asthma pathogenesis through its effects on T cells and its association with pro-inflammatory responses. Both lung and circulating IL-6 levels are elevated in asthma.

View Article and Find Full Text PDF

Background: Coronary physiology to guide multi-vessel coronary intervention is associated with better outcome. In the presence of a coronary chronic total occlusion (CTO), hemodynamic evaluation of intermediate lesions in the donor coronary artery supplying a CTO territory still has limitations. We aim to evaluate implementing quantitative flow ratio (QFR) in assessing angiographically intermediate lesions of the main donor coronary artery supplying a CTO territory.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!