[Acute coronary syndromes with ST-segment elevation and anomalous connections of the coronary arteries].
Acute coronary syndrome with ST-segment elevation associated with an anomalous connection of a coronary artery, when the latter is the culprit, may be problematic. Anatomic and radiologic knowledge of major congenital coronary abnormalities and some catheterization skills can help the operators not to delay a beneficial coronary reperfusion. The relationship between acute coronary syndromes with ST-segment elevation and anomalous connections of the coronary arteries needs to be analyzed with a large number of cases because the coronary artery disease frequency may vary with the type of coronary anomaly.
Département de cardiologie, groupe hospitalier Bichat-Claude-Bernard, Assistance publique-Hôpitaux de Paris, 46, rue Henri-Huchard, 75018 Paris, France; Service de cardiologie, centre hospitalier, 95500 Gonesse, France. Electronic address: pcaubry@yahoo.fr.
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Aubry
Département de cardiologie, groupe hospitalier Bichat-Claude-Bernard, Assistance publique-Hôpitaux de Paris, 46, rue Henri-Huchard, 75018 Paris, France; Service de cardiologie, centre hospitalier régional, 45000 Orléans, France.
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Halna du Fretay
Service de cardiologie, centre hospitalier régional, 45000 Orléans, France.
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Dibon
Département de cardiologie interventionnelle et d'imagerie cardiovasculaire, hôpital privé d'Antony, 92160 Antony, France.
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Dupouy
Département de cardiologie, groupe hospitalier Bichat-Claude-Bernard, Assistance publique-Hôpitaux de Paris, 46, rue Henri-Huchard, 75018 Paris, France.
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Juliard
D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy*; D017130:Angioplasty / Q000379:methods; D001281:Atrial Fibrillation / Q000628:therapy; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D006329:Heart Conduction System / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D016896:Treatment Outcome
Acute coronary syndrome; Anomalies coronaires congénitales; Anomalous connection; Congenital coronary artery abnormalities; Connexion anormale; Syndrome coronaire aigu