Open AccessSurgical Management of Acute Myocardial Infarction Caused by Intramural Anomalous Left Coronary Artery in a Young Female Athlete
Author(s) -
Guglielmo Saitto,
Antonio Lio,
Vincenzo Polizzi,
Marco Russo,
Francesca Nicolò,
Federico Ranocchi,
Francesco Musumeci
Publication year - 2022
Publication title -
texas heart institute journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.373
H-Index - 53
eISSN - 1526-6702
pISSN - 0730-2347
DOI - 10.14503/thij-20-7425
Subject(s) - medicine , cardiology , left coronary artery , myocardial infarction , artery , sinus (botany) , right coronary artery , aortic sinus , sudden death , sudden cardiac death , coronary angiography , botany , biology , genus
In the complex spectrum of coronary anomalies, the origin of the left coronary artery from the right sinus of Valsalva with intramural course could represent a catastrophic life-threatening condition leading to extensive myocardial infarction and sudden cardiac death, especially in young athletes. We report the case of a young female athlete with anomalous left coronary artery from the opposite sinus who survived a major non-ST-elevation myocardial infarction during the eighth kilometer of a running race. It was successfully treated by creating a neo-ostium of the left coronary artery in the left sinus at the point at which the artery left the aortic wall.