Myocardial infarcts in a patient with a single right sided coronary ostium and interarterial course of the circumflex artery: the role of multi-modality imaging.
A solitary coronary ostium, in the absence of other congenital cardiovascular abnormalities, is a rare finding at angiography, and may be associated with myocardial ischemia and sudden cardiac death. We present a 46-year-old female who presented with a non-ST-segment-elevation myocardial infarct in whom the diagnosis of a single coronary artery with right sided ostium was made during diagnostic coronary angiography. Multi-detector computed tomography and gadolinium-enhanced cardiovascular magnetic resonance were valuable in delineating the extremely rare IIE1 coronary anatomy, the localization and the extent of myocardial necrosis.
Smedema
J P
JP
Berlion
A E
AE
Morkel
H
H
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000787:Angina Pectoris; D000924:Anticholesteremic Agents / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D017298:Bisoprolol / Q000627:therapeutic use; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000000981:diagnostic imaging; D003331:Coronary Vessels / Q000473:pathology / Q000503:physiopathology; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D020913:Perindopril / Q000627:therapeutic use; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D019821:Simvastatin / Q000627:therapeutic use; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed
D000319:Adrenergic beta-Antagonists; D000924:Anticholesteremic Agents; D000959:Antihypertensive Agents; D010975:Platelet Aggregation Inhibitors; D019821:Simvastatin; D001241:Aspirin; D017298:Bisoprolol; D020913:Perindopril