Single coronary artery presenting as acute myocardial infarction.
A single coronary artery is one of the most rarely seen coronary artery anomalies. In addition, the specific subtype (Lipton RII-A) that our patient presented is one of the least common, and its clinical presentation as myocardial infarction and cardiac arrest has not been described in the literature. The case shows that although it is essential to exclude a malignant interarterial course of the vessel, cardiac arrest is a possible clinical presentation produced by myocardial ischemia in the context of acute myocardial infarction and should be managed according to clinical practice guidelines.
Interventional Cardiology Department, University General Hospital of Ciudad Real, Ciudad Real, Spain. Electronic address: alfonsojuradoroman@gmail.com.
Alfonso
A
Jurado-Román
Interventional Cardiology Department, University General Hospital of Ciudad Real, Ciudad Real, Spain.
Ignacio
I
Sánchez-Pérez
Interventional Cardiology Department, University General Hospital of Ciudad Real, Ciudad Real, Spain.
Fernando
F
Lozano-Ruíz-Poveda
Interventional Cardiology Department, University General Hospital of Ciudad Real, Ciudad Real, Spain.
Natalia
N
Pinilla-Echeverri
Interventional Cardiology Department, University General Hospital of Ciudad Real, Ciudad Real, Spain.
María T
MT
López-Lluva
Interventional Cardiology Department, University General Hospital of Ciudad Real, Ciudad Real, Spain.
Andrea
A
Moreno-Arciniegas
Interventional Cardiology Department, University General Hospital of Ciudad Real, Ciudad Real, Spain.
Manuel
M
Marina-Breysse
Interventional Cardiology Department, University General Hospital of Ciudad Real, Ciudad Real, Spain.
Jesús
J
Piqueras-Flores
D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*
Artéria coronária única; Cardiac arrest; Enfarte do miocárdio; Multislice computed tomography; Myocardial infarction; Paragem cardíaca; Single coronary artery; Tomografia computorizada multislice