Acute Posterior-inferior Myocardial Infarction Caused by Total Occlusion Distal to the Apex of the Hyperdominant Left Anterior Descending Artery

被引：1

作者：

Kamizono, Yusuke ^{[1
]}

Ikeda, Daisuke ^{[2
]}

机构：

[1] Gyokusuikai Hosp, Dept Internal Med, Kagoshima, Japan

[2] Ikeda Hosp, Dept Cardiol, Ikeda, Japan

来源：

INTERNAL MEDICINE | 2020年 / 59卷 / 24期

关键词：

acute myocardial infarction; hyperdominant left anterior descending artery; total occlusion distal to the apex; percutaneous coronary intervention;

D O I：

10.2169/internalmedicine.5425-20

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 77-year-old woman was admitted to our hospital with severe ongoing chest pain. Electrocardiography showed ST-segment elevation in the inferior leads and tall R waves in leads V1-2. Posterior-inferior myocardial infarction was diagnosed. Emergent coronary angiography (CAG) revealed the wrap-around left anterior descending artery (LAD) with total occlusion distal to the cardiac apex. She underwent percutaneous coronary intervention (PCI). Despite difficulty navigating the long and tortuous LAD, we successfully performed reperfusion of the wrap-around LAD. CAG post-PCI showed the posterior descending artery arising from the LAD, described as hyperdominant LAD.

引用

页码：3183 / 3186

页数：4

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