Open AccessA SEVERE STENOSIS OF THE PROXIMAL SEGMENT OF THE LEFT ANTERIOR DESCENDING CORONARY ARTERY PRESENTING WITH AN INFERO-LATERO-BASAL ST-ELEVATION MYOCARDIAL INFARCTION : A CASE REPORT
Author(s) -
S. Nikiema,
Zakaria Lahlafi,
M. Desire,
Zouhair Lakhal,
Aatif Benyass
Publication year - 2021
Publication title -
international journal of advanced research
Language(s) - English
Resource type - Journals
ISSN - 2320-5407
DOI - 10.21474/ijar01/13136
Subject(s) - medicine , cardiology , right coronary artery , circumflex , myocardial infarction , chest pain , basal (medicine) , percutaneous coronary intervention , artery , electrocardiography , st elevation , stenosis , left coronary artery , st segment , coronary arteries , coronary angiography , insulin
A 57-years-old man presented in our department of emergency with an acute chest pain infarct-like. The electrocardiogram realised showed an ST elevation in the infero-latero-basal leads suggesting an occlusion of the right coronary artery or the left circumflex coronary artery. However, the coronary angiography that was performed showed a subocclusion of the proximal left anterior descending coronary artery, in contrast to the expected results. This case was reported using electrocardiography and coronary angiography data and the electrocardiogram changes after a percutaneous coronary intervention. The particularity of this case lies in the lack of correlation between the electrocardiographic Changes and the Coronary Angiographic Findings.