title: Aortic arch variant presenting as an acute ST elevation myocardial infarction.
abstract: A woman in her 40s presented to our institution with a first episode of sudden-onset right-sided chest pain. Initially, her ECG revealed ST segment elevation in leads V1-V3 and cardiac biomarkers were elevated with a troponin I (TnI) 5 µg/l. Her cardiac risk factors included type II diabetes mellitus and a history of hypertension. Intravenous heparin was initiated and emergent cardiac catheterisation revealed non-obstructive coronary artery disease. A two-dimensional echocardiogram confirmed hypokinesis of the anterior wall. A CT thorax demonstrated a rare anatomical variant of the aortic arch with an aberrant right subclavian artery. This is a rare case of an aortic arch anomaly presenting as a myocardial infarction.
authors: Henry Ford Hospital, Detroit, Michigan, USA. zaid_md@live.com
authors: Zaid
authors: Z
authors: Alirhayim
authors: Waqas
authors: W
authors: Qureshi
authors: Ali
authors: A
authors: Shafiq
authors: Syed
authors: S
authors: Hassan
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000002:abnormalities*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology*