Acute ST elevation myocardial infarction in an adult patient with anomalous origin of the left coronary artery from the pulmonary artery

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• 作者：Takashi Omura ; MD ; PhD^a ; ^{omurathys@gmail.com" class="auth_mail} ; Keitaro Ogawa ; MD ; PhD^a ; Mayu Hashimoto ; MD^a ; Ryoko Kitada ; MD^a ; Sera Ishikawa ; MD^a ; Yuki Koga ; MD^a ; Yasushi Koyama ; MD ; PhD^b ; Shigeya Oda ; MD ; PhD^a ; Satoru Izutani ; MD ; PhD^a ; Akira Tahara ; MD ; PhD^a
• 关键词：Anomalous origin of the left coronary artery from the pulmonary artery ; Bland&ndash ; White&ndash ; Garland syndrome ; Acute myocardial infarction
• 刊名：Journal of Cardiology Cases
• 出版年：March, 2014
• 年：2014
• 卷：9
• 期：3
• 页码：121-123
• 全文大小：1144 K

文摘

Anomalous origin of the left coronary artery from the pulmonary artery is rare but causes myocardial ischemia and sudden death. A few patients with this anomaly can survive to adulthood without sufficient collateral coronary flow or surgical intervention. We present here a case of acute inferior myocardial infarction, which may occur due to thrombotic occlusion of the right coronary artery, in a 63-year-old woman with anomalous origin of the left coronary artery from the pulmonary artery, providing specific coronary angiographic findings.

<Learning objective: In this manuscript, we present a rare case of coronary heart disease. The coronary angiography and the multidetector computed tomographic coronary angiography provided specific findings for the diagnosis.>