title: Single coronary artery presenting with cardiogenic shock due to acute myocardial infarction.
abstract: Percutaneous coronary revascularization plays an important role in the management of acute coronary syndrome. Unpredictable angiographic findings of anomalous coronary arteries may, however, compromise the otherwise high and predictable success rates of this intervention. We report a case of failed coronary angioplasty of the left anterior descending artery through an anomalous left main coronary artery originating from the right coronary sinus in a 33-year-old man with acute myocardial infarction complicated by cardiogenic shock. Subsequently the patient performed successful emergency coronary artery bypass graft.
authors.affiliation: Department of Cardiology, Yuksek Ihtisas Hospital, Ankara, Turkey.
authors.forename: Bilal
authors.initials: B
authors.lastname: Geyik
authors.forename: Ozcan
authors.initials: O
authors.lastname: Ozeke
authors.forename: Bulent
authors.initials: B
authors.lastname: Deveci
authors.forename: Orhan
authors.initials: O
authors.lastname: Maden
authors.forename: Kubilay
authors.initials: K
authors.lastname: Senen
mesh_terms: D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003330:Coronary Vessel Anomalies / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000601:surgery; D012770:Shock, Cardiogenic / Q000209:etiology* / Q000601:surgery