Acute myocardial infarction and ischemia in the left anterior descending artery territory in a patient with single coronary artery.
This report describes a 77-year-old woman with a single coronary artery who suffered an acute anterior wall myocardial infarction. The single coronary artery arose from the right coronary artery through the transverse trunk, and there were no other cardiovascular anomalies. Coronary angiography did not reveal significant coronary artery stenosis in the left anterior descending artery. The patient was treated medically in the acute phase. She developed typical angina and evidence of myocardial ischemia, and underwent successful coronary artery bypass grafting in the chronic phase with anterior chest pain.
Takama
Noriaki
N
Division of Cardiology, Nishiagatsuma Welfare Hospital, Gunma 377-1308, Japan.
Kaneko
Tatsuo
T
Hoshizaki
Hiroshi
H
Toyama
Takuji
T
Naito
Shigeto
S
Adachi
Hitoshi
H
Oshima
Shigeru
S
Taniguchi
Koichi
K
D000368:Aged; D000787:Angina Pectoris / Q000175:diagnosis / Q000209:etiology; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000000981:diagnostic imaging; D004562:Electrocardiography; D005260:Female; D006321:Heart / Q000000981:diagnostic imaging; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D019275:Radiopharmaceuticals; D016698:Technetium Tc 99m Pyrophosphate; D015899:Tomography, Emission-Computed, Single-Photon
D019275:Radiopharmaceuticals; D016698:Technetium Tc 99m Pyrophosphate