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Myocardial infarction with non‐obstructive disease and anomalous coronary origin: look for the common in the uncommon
Management of congenital coronary artery anomalies (CAA) is not standardized due to the variety of conditions included and their rare prevalence. Detection of CAA during myocardial infarction with non‐obstructive coronary arteries (MINOCA) may induce clinicians to address the patient for surgery as...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9715779/ https://www.ncbi.nlm.nih.gov/pubmed/35809025 http://dx.doi.org/10.1002/ehf2.14075 |
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author | Disabato, Gindomenico Camporeale, Antonia Lo Rito, Mauro Tondi, Lara Zuniga Olaya, Karina Geraldina Frigiola, Alessandro Agnifili, Mauro Luca Bedogni, Francesco Lombardi, Massimo Pica, Silvia |
author_facet | Disabato, Gindomenico Camporeale, Antonia Lo Rito, Mauro Tondi, Lara Zuniga Olaya, Karina Geraldina Frigiola, Alessandro Agnifili, Mauro Luca Bedogni, Francesco Lombardi, Massimo Pica, Silvia |
author_sort | Disabato, Gindomenico |
collection | PubMed |
description | Management of congenital coronary artery anomalies (CAA) is not standardized due to the variety of conditions included and their rare prevalence. Detection of CAA during myocardial infarction with non‐obstructive coronary arteries (MINOCA) may induce clinicians to address the patient for surgery as CAA is not included in any algorithm(1,2) for the management of MINOCA and American Association for Thoracic Surgery evidence‐based guidelines suggest surgical repair for patients with anomalous aortic origin of a coronary artery and symptoms compatible with myocardial ischaemia.(3) We present the case of a 35‐year‐old man with an anomalous origin of left coronary artery from right Valsalva sinus with pre‐pulmonic course detected during urgent coronary angiography for suspected myocardial infarction. Stress cardiac magnetic resonance did not show signs of ischaemia at high‐dose dobutamine but did reveal a recent myocarditis. This clinical case highlights the need for accurate risk stratification in CAA especially when confounding clinical scenarios co‐exist. |
format | Online Article Text |
id | pubmed-9715779 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-97157792022-12-05 Myocardial infarction with non‐obstructive disease and anomalous coronary origin: look for the common in the uncommon Disabato, Gindomenico Camporeale, Antonia Lo Rito, Mauro Tondi, Lara Zuniga Olaya, Karina Geraldina Frigiola, Alessandro Agnifili, Mauro Luca Bedogni, Francesco Lombardi, Massimo Pica, Silvia ESC Heart Fail Case Reports Management of congenital coronary artery anomalies (CAA) is not standardized due to the variety of conditions included and their rare prevalence. Detection of CAA during myocardial infarction with non‐obstructive coronary arteries (MINOCA) may induce clinicians to address the patient for surgery as CAA is not included in any algorithm(1,2) for the management of MINOCA and American Association for Thoracic Surgery evidence‐based guidelines suggest surgical repair for patients with anomalous aortic origin of a coronary artery and symptoms compatible with myocardial ischaemia.(3) We present the case of a 35‐year‐old man with an anomalous origin of left coronary artery from right Valsalva sinus with pre‐pulmonic course detected during urgent coronary angiography for suspected myocardial infarction. Stress cardiac magnetic resonance did not show signs of ischaemia at high‐dose dobutamine but did reveal a recent myocarditis. This clinical case highlights the need for accurate risk stratification in CAA especially when confounding clinical scenarios co‐exist. John Wiley and Sons Inc. 2022-07-09 /pmc/articles/PMC9715779/ /pubmed/35809025 http://dx.doi.org/10.1002/ehf2.14075 Text en © 2022 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Case Reports Disabato, Gindomenico Camporeale, Antonia Lo Rito, Mauro Tondi, Lara Zuniga Olaya, Karina Geraldina Frigiola, Alessandro Agnifili, Mauro Luca Bedogni, Francesco Lombardi, Massimo Pica, Silvia Myocardial infarction with non‐obstructive disease and anomalous coronary origin: look for the common in the uncommon |
title | Myocardial infarction with non‐obstructive disease and anomalous coronary origin: look for the common in the uncommon |
title_full | Myocardial infarction with non‐obstructive disease and anomalous coronary origin: look for the common in the uncommon |
title_fullStr | Myocardial infarction with non‐obstructive disease and anomalous coronary origin: look for the common in the uncommon |
title_full_unstemmed | Myocardial infarction with non‐obstructive disease and anomalous coronary origin: look for the common in the uncommon |
title_short | Myocardial infarction with non‐obstructive disease and anomalous coronary origin: look for the common in the uncommon |
title_sort | myocardial infarction with non‐obstructive disease and anomalous coronary origin: look for the common in the uncommon |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9715779/ https://www.ncbi.nlm.nih.gov/pubmed/35809025 http://dx.doi.org/10.1002/ehf2.14075 |
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