Acute coronary syndrome associated with anomalous origin of circumflex artery. Case report and literature review
Abstract: We present a case of an acute coronary ischemic syndrome associated with anomalous origin of the circumflex artery, with a right coronary sinus origin independent of the right coronary artery, which has a prevalence of 0.1 to 8.4%. This type of anomaly is classified according to the international guidelines as low-risk, however, at high risk of presenting atheroma, coronary complications,(1) and acute coronary ischemic syndrome due to its occasionally intraarterial pathway. The treatment depends on the complexity of the coronary anatomy. In this case with the presence of total obstruction the correct therapy was to perform a percutaneous coronary angioplasty with drug-eluting stent (DES) placement, which improves the survival and is therapeutic at the acute phase, as in the case of this patient.
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Asociación Nacional de Cardiólogos de México, Sociedad de Cardiología Intervencionista de México
2018
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oai:scielo:S0188-219820180004001682022-04-20Acute coronary syndrome associated with anomalous origin of circumflex artery. Case report and literature reviewReyes-Nava,Diego AlbertoHernández-Mercado,Marco AntonioReyes-Corona,Jesús AntonioMorales-Bernal,Norma Eloisa Anomalous origin of coronary artery ischemia echocardiography coronary angioplasty sudden death Abstract: We present a case of an acute coronary ischemic syndrome associated with anomalous origin of the circumflex artery, with a right coronary sinus origin independent of the right coronary artery, which has a prevalence of 0.1 to 8.4%. This type of anomaly is classified according to the international guidelines as low-risk, however, at high risk of presenting atheroma, coronary complications,(1) and acute coronary ischemic syndrome due to its occasionally intraarterial pathway. The treatment depends on the complexity of the coronary anatomy. In this case with the presence of total obstruction the correct therapy was to perform a percutaneous coronary angioplasty with drug-eluting stent (DES) placement, which improves the survival and is therapeutic at the acute phase, as in the case of this patient.info:eu-repo/semantics/openAccessAsociación Nacional de Cardiólogos de México, Sociedad de Cardiología Intervencionista de MéxicoRevista mexicana de cardiología v.29 n.4 20182018-12-01info:eu-repo/semantics/articletext/htmlhttp://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0188-21982018000400168en |
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Reyes-Nava,Diego Alberto Hernández-Mercado,Marco Antonio Reyes-Corona,Jesús Antonio Morales-Bernal,Norma Eloisa |
spellingShingle |
Reyes-Nava,Diego Alberto Hernández-Mercado,Marco Antonio Reyes-Corona,Jesús Antonio Morales-Bernal,Norma Eloisa Acute coronary syndrome associated with anomalous origin of circumflex artery. Case report and literature review |
author_facet |
Reyes-Nava,Diego Alberto Hernández-Mercado,Marco Antonio Reyes-Corona,Jesús Antonio Morales-Bernal,Norma Eloisa |
author_sort |
Reyes-Nava,Diego Alberto |
title |
Acute coronary syndrome associated with anomalous origin of circumflex artery. Case report and literature review |
title_short |
Acute coronary syndrome associated with anomalous origin of circumflex artery. Case report and literature review |
title_full |
Acute coronary syndrome associated with anomalous origin of circumflex artery. Case report and literature review |
title_fullStr |
Acute coronary syndrome associated with anomalous origin of circumflex artery. Case report and literature review |
title_full_unstemmed |
Acute coronary syndrome associated with anomalous origin of circumflex artery. Case report and literature review |
title_sort |
acute coronary syndrome associated with anomalous origin of circumflex artery. case report and literature review |
description |
Abstract: We present a case of an acute coronary ischemic syndrome associated with anomalous origin of the circumflex artery, with a right coronary sinus origin independent of the right coronary artery, which has a prevalence of 0.1 to 8.4%. This type of anomaly is classified according to the international guidelines as low-risk, however, at high risk of presenting atheroma, coronary complications,(1) and acute coronary ischemic syndrome due to its occasionally intraarterial pathway. The treatment depends on the complexity of the coronary anatomy. In this case with the presence of total obstruction the correct therapy was to perform a percutaneous coronary angioplasty with drug-eluting stent (DES) placement, which improves the survival and is therapeutic at the acute phase, as in the case of this patient. |
publisher |
Asociación Nacional de Cardiólogos de México, Sociedad de Cardiología Intervencionista de México |
publishDate |
2018 |
url |
http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0188-21982018000400168 |
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