title: Anomalous left anterior descending artery: an uncommon cause of ST elevation myocardial infarction.
abstract: A healthy 32-year-old Asian man presented in emergency with a history of severe chest pain. ECG showed normal sinus rhythm with ST elevations in the anterior chest leads. He was diagnosed with anterior wall ST segment elevation myocardial infarction and was thrombolysed with tenecteplase. The cardiac enzymes and troponin level were significantly high and echocardiography demonstrated akinetic anterior segment of left ventricle. Coronary angiography exhibited anomalous left anterior descending artery originating from right sinus of Valsalva without atherosclerotic lesion.
authors.affiliation: Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, UAE.
authors.forename: Ali Raza
authors.initials: AR
authors.lastname: Rajani
authors.affiliation: Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, UAE.
authors.forename: Muhammad Anwer
authors.initials: MA
authors.lastname: Rafiq
authors.affiliation: Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, UAE.
authors.forename: Muhammad Hamid
authors.initials: MH
authors.lastname: Mian
authors.affiliation: Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, UAE.
authors.forename: Fahad Omar
authors.initials: FO
authors.lastname: Baslaib
mesh_terms: D000328:Adult; D003330:Coronary Vessel Anomalies / Q000150:complications*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D015912:Thrombolytic Therapy; D016896:Treatment Outcome
chemical_list: D005343:Fibrinolytic Agents; D010975:Platelet Aggregation Inhibitors