Late and Incidental Discovery of an Anomalous Coronary Artery Originating from the  Opposite Sinus after Stemi

Zakaria Wakrim; Hajar Dahman; Mohammed El Jamili; Dounia Benzarouel; Mustapha El Hattaoui

doi:10.9734/ca/2022/v11i430232

Research Article Open access CC BY 4.0

Late and Incidental Discovery of an Anomalous Coronary Artery Originating from the Opposite Sinus after Stemi

Zakaria Wakrim, Hajar Dahman, Mohammed El Jamili, Dounia Benzarouel, Mustapha El Hattaoui

Cardiology and Angiology: An International Journal · pp. 277–281 · Published 6 Sep 2022

10.9734/ca/2022/v11i430232

Abstract

Coronary artery anomalies (CAAs) comprise a diverse group of congenital malformations with widely varying expressions and pathophysiological mechanisms. The most notable group of CAAs has been termed ‘Anomalous coronary artery originating from the opposite sinus of Valsalva’ (ACAOS), a rare congenital heart disease that is associated with sudden cardiac death and ischemia. We present the case of an 80-year-old man presenting with inferior STEMI having a single coronary ostium and a rare variant of the coronary artery origin belonging to type A4d with an interatrial LAD course according to Angelini's classification. This abnormal finding was managed conservatively and the patient underwent successful drug-eluding stent implantation in the culprit right coronary artery in its middle portion.

STEMI ACAOS CCTA AAOCA cardiac imaging

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Zakaria Wakrim, Hajar Dahman, Mohammed El Jamili, Dounia Benzarouel, Mustapha El Hattaoui (2022). Late and Incidental Discovery of an Anomalous Coronary Artery Originating from the Opposite Sinus after Stemi. Cardiology and Angiology: An International Journal , 277–281. https://doi.org/10.9734/ca/2022/v11i430232

Affiliations

Zakaria Wakrim — Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.
Hajar Dahman — Department of Radiology, Mohammed VI University Hospital, Marrakesh, Morocco.
Mohammed El Jamili — Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.
Dounia Benzarouel — Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.
Mustapha El Hattaoui — Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.

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