Primary percutaneous coronary intervention in a patient with right internal mammary artery graft originating from arteria lusoria dextra
Introduction. Congenital anomalies of the aortic arch, although numerous and heterogeneous, occur in less than 1% of individuals at autopsies. Left aortic arch with an aberrant right subclavian artery, also called arteria lusoria dextra, is the most common anomaly of the aortic arch, occurring in...
Ausführliche Beschreibung
Autor*in: |
Aleksandrić Srđan [verfasserIn] Stojković Siniša [verfasserIn] Tomašević Miloje [verfasserIn] Kostić Jelena [verfasserIn] Banović Marko [verfasserIn] Menković Nemanja [verfasserIn] Ostojić Miodrag [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch ; srp |
Erschienen: |
2013 |
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Schlagwörter: |
aberrant right subclavian artery ST elevation myocardial infarction percutaneous coronary intervention |
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Übergeordnetes Werk: |
In: Srpski Arhiv za Celokupno Lekarstvo - Serbian Medical Society, 2010, 141(2013), 3-4, Seite 223-227 |
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Übergeordnetes Werk: |
volume:141 ; year:2013 ; number:3-4 ; pages:223-227 |
Links: |
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DOI / URN: |
10.2298/SARH1304223A |
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Katalog-ID: |
DOAJ060923504 |
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520 | |a Introduction. Congenital anomalies of the aortic arch, although numerous and heterogeneous, occur in less than 1% of individuals at autopsies. Left aortic arch with an aberrant right subclavian artery, also called arteria lusoria dextra, is the most common anomaly of the aortic arch, occurring in 0.5-2.5% of individuals. Case Outline. We report the case of a 48-year-old man suffering from acute inferoposterior-wall ST elevation myocardial infarction successfully treated by primary percutaneous coronary intervention. Ten years ago, the patient had undergone coronary artery bypass graft surgery with the implantation of two arterial grafts - left and right internal mammary arteries on both left anterior descending and right coronary artery. After several attempts to canulate truncus brachiocephalicus, angiogram revealed the left aortic arch with the aberrant right subclavian artery. To our knowledge, this is the first described case of primary percutaneous coronary intervention via the aberrant right subclavian artery and right internal mammary artery graft with stent implantation in the infarct related lesion of the distal segment of right coronary artery. Subsequent 64-multidetector computed tomography confirmed the angiographic findings. Conclusion. Early recognition of congenital anomalies of the aortic arch and its great vessels, even before coronary artery bypass graft surgery, could be crucial for the urgent and successful treatment of patients with life-threatening conditions, such as ST segment elevation myocardial infarction. | ||
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10.2298/SARH1304223A doi (DE-627)DOAJ060923504 (DE-599)DOAJbfd5e45c534a42478330276729c4b953 DE-627 ger DE-627 rakwb eng srp Aleksandrić Srđan verfasserin aut Primary percutaneous coronary intervention in a patient with right internal mammary artery graft originating from arteria lusoria dextra 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Congenital anomalies of the aortic arch, although numerous and heterogeneous, occur in less than 1% of individuals at autopsies. Left aortic arch with an aberrant right subclavian artery, also called arteria lusoria dextra, is the most common anomaly of the aortic arch, occurring in 0.5-2.5% of individuals. Case Outline. We report the case of a 48-year-old man suffering from acute inferoposterior-wall ST elevation myocardial infarction successfully treated by primary percutaneous coronary intervention. Ten years ago, the patient had undergone coronary artery bypass graft surgery with the implantation of two arterial grafts - left and right internal mammary arteries on both left anterior descending and right coronary artery. After several attempts to canulate truncus brachiocephalicus, angiogram revealed the left aortic arch with the aberrant right subclavian artery. To our knowledge, this is the first described case of primary percutaneous coronary intervention via the aberrant right subclavian artery and right internal mammary artery graft with stent implantation in the infarct related lesion of the distal segment of right coronary artery. Subsequent 64-multidetector computed tomography confirmed the angiographic findings. Conclusion. Early recognition of congenital anomalies of the aortic arch and its great vessels, even before coronary artery bypass graft surgery, could be crucial for the urgent and successful treatment of patients with life-threatening conditions, such as ST segment elevation myocardial infarction. arteria lusoria dextra aberrant right subclavian artery ST elevation myocardial infarction percutaneous coronary intervention congenital aortic arch anomalies radial approach Medicine R Stojković Siniša verfasserin aut Tomašević Miloje verfasserin aut Kostić Jelena verfasserin aut Banović Marko verfasserin aut Menković Nemanja verfasserin aut Ostojić Miodrag verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 141(2013), 3-4, Seite 223-227 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:141 year:2013 number:3-4 pages:223-227 https://doi.org/10.2298/SARH1304223A kostenfrei https://doaj.org/article/bfd5e45c534a42478330276729c4b953 kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2013/0370-81791304223A.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 141 2013 3-4 223-227 |
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10.2298/SARH1304223A doi (DE-627)DOAJ060923504 (DE-599)DOAJbfd5e45c534a42478330276729c4b953 DE-627 ger DE-627 rakwb eng srp Aleksandrić Srđan verfasserin aut Primary percutaneous coronary intervention in a patient with right internal mammary artery graft originating from arteria lusoria dextra 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Congenital anomalies of the aortic arch, although numerous and heterogeneous, occur in less than 1% of individuals at autopsies. Left aortic arch with an aberrant right subclavian artery, also called arteria lusoria dextra, is the most common anomaly of the aortic arch, occurring in 0.5-2.5% of individuals. Case Outline. We report the case of a 48-year-old man suffering from acute inferoposterior-wall ST elevation myocardial infarction successfully treated by primary percutaneous coronary intervention. Ten years ago, the patient had undergone coronary artery bypass graft surgery with the implantation of two arterial grafts - left and right internal mammary arteries on both left anterior descending and right coronary artery. After several attempts to canulate truncus brachiocephalicus, angiogram revealed the left aortic arch with the aberrant right subclavian artery. To our knowledge, this is the first described case of primary percutaneous coronary intervention via the aberrant right subclavian artery and right internal mammary artery graft with stent implantation in the infarct related lesion of the distal segment of right coronary artery. Subsequent 64-multidetector computed tomography confirmed the angiographic findings. Conclusion. Early recognition of congenital anomalies of the aortic arch and its great vessels, even before coronary artery bypass graft surgery, could be crucial for the urgent and successful treatment of patients with life-threatening conditions, such as ST segment elevation myocardial infarction. arteria lusoria dextra aberrant right subclavian artery ST elevation myocardial infarction percutaneous coronary intervention congenital aortic arch anomalies radial approach Medicine R Stojković Siniša verfasserin aut Tomašević Miloje verfasserin aut Kostić Jelena verfasserin aut Banović Marko verfasserin aut Menković Nemanja verfasserin aut Ostojić Miodrag verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 141(2013), 3-4, Seite 223-227 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:141 year:2013 number:3-4 pages:223-227 https://doi.org/10.2298/SARH1304223A kostenfrei https://doaj.org/article/bfd5e45c534a42478330276729c4b953 kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2013/0370-81791304223A.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 141 2013 3-4 223-227 |
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10.2298/SARH1304223A doi (DE-627)DOAJ060923504 (DE-599)DOAJbfd5e45c534a42478330276729c4b953 DE-627 ger DE-627 rakwb eng srp Aleksandrić Srđan verfasserin aut Primary percutaneous coronary intervention in a patient with right internal mammary artery graft originating from arteria lusoria dextra 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Congenital anomalies of the aortic arch, although numerous and heterogeneous, occur in less than 1% of individuals at autopsies. Left aortic arch with an aberrant right subclavian artery, also called arteria lusoria dextra, is the most common anomaly of the aortic arch, occurring in 0.5-2.5% of individuals. Case Outline. We report the case of a 48-year-old man suffering from acute inferoposterior-wall ST elevation myocardial infarction successfully treated by primary percutaneous coronary intervention. Ten years ago, the patient had undergone coronary artery bypass graft surgery with the implantation of two arterial grafts - left and right internal mammary arteries on both left anterior descending and right coronary artery. After several attempts to canulate truncus brachiocephalicus, angiogram revealed the left aortic arch with the aberrant right subclavian artery. To our knowledge, this is the first described case of primary percutaneous coronary intervention via the aberrant right subclavian artery and right internal mammary artery graft with stent implantation in the infarct related lesion of the distal segment of right coronary artery. Subsequent 64-multidetector computed tomography confirmed the angiographic findings. Conclusion. Early recognition of congenital anomalies of the aortic arch and its great vessels, even before coronary artery bypass graft surgery, could be crucial for the urgent and successful treatment of patients with life-threatening conditions, such as ST segment elevation myocardial infarction. arteria lusoria dextra aberrant right subclavian artery ST elevation myocardial infarction percutaneous coronary intervention congenital aortic arch anomalies radial approach Medicine R Stojković Siniša verfasserin aut Tomašević Miloje verfasserin aut Kostić Jelena verfasserin aut Banović Marko verfasserin aut Menković Nemanja verfasserin aut Ostojić Miodrag verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 141(2013), 3-4, Seite 223-227 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:141 year:2013 number:3-4 pages:223-227 https://doi.org/10.2298/SARH1304223A kostenfrei https://doaj.org/article/bfd5e45c534a42478330276729c4b953 kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2013/0370-81791304223A.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 141 2013 3-4 223-227 |
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10.2298/SARH1304223A doi (DE-627)DOAJ060923504 (DE-599)DOAJbfd5e45c534a42478330276729c4b953 DE-627 ger DE-627 rakwb eng srp Aleksandrić Srđan verfasserin aut Primary percutaneous coronary intervention in a patient with right internal mammary artery graft originating from arteria lusoria dextra 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Congenital anomalies of the aortic arch, although numerous and heterogeneous, occur in less than 1% of individuals at autopsies. Left aortic arch with an aberrant right subclavian artery, also called arteria lusoria dextra, is the most common anomaly of the aortic arch, occurring in 0.5-2.5% of individuals. Case Outline. We report the case of a 48-year-old man suffering from acute inferoposterior-wall ST elevation myocardial infarction successfully treated by primary percutaneous coronary intervention. Ten years ago, the patient had undergone coronary artery bypass graft surgery with the implantation of two arterial grafts - left and right internal mammary arteries on both left anterior descending and right coronary artery. After several attempts to canulate truncus brachiocephalicus, angiogram revealed the left aortic arch with the aberrant right subclavian artery. To our knowledge, this is the first described case of primary percutaneous coronary intervention via the aberrant right subclavian artery and right internal mammary artery graft with stent implantation in the infarct related lesion of the distal segment of right coronary artery. Subsequent 64-multidetector computed tomography confirmed the angiographic findings. Conclusion. Early recognition of congenital anomalies of the aortic arch and its great vessels, even before coronary artery bypass graft surgery, could be crucial for the urgent and successful treatment of patients with life-threatening conditions, such as ST segment elevation myocardial infarction. arteria lusoria dextra aberrant right subclavian artery ST elevation myocardial infarction percutaneous coronary intervention congenital aortic arch anomalies radial approach Medicine R Stojković Siniša verfasserin aut Tomašević Miloje verfasserin aut Kostić Jelena verfasserin aut Banović Marko verfasserin aut Menković Nemanja verfasserin aut Ostojić Miodrag verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 141(2013), 3-4, Seite 223-227 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:141 year:2013 number:3-4 pages:223-227 https://doi.org/10.2298/SARH1304223A kostenfrei https://doaj.org/article/bfd5e45c534a42478330276729c4b953 kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2013/0370-81791304223A.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 141 2013 3-4 223-227 |
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10.2298/SARH1304223A doi (DE-627)DOAJ060923504 (DE-599)DOAJbfd5e45c534a42478330276729c4b953 DE-627 ger DE-627 rakwb eng srp Aleksandrić Srđan verfasserin aut Primary percutaneous coronary intervention in a patient with right internal mammary artery graft originating from arteria lusoria dextra 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Congenital anomalies of the aortic arch, although numerous and heterogeneous, occur in less than 1% of individuals at autopsies. Left aortic arch with an aberrant right subclavian artery, also called arteria lusoria dextra, is the most common anomaly of the aortic arch, occurring in 0.5-2.5% of individuals. Case Outline. We report the case of a 48-year-old man suffering from acute inferoposterior-wall ST elevation myocardial infarction successfully treated by primary percutaneous coronary intervention. Ten years ago, the patient had undergone coronary artery bypass graft surgery with the implantation of two arterial grafts - left and right internal mammary arteries on both left anterior descending and right coronary artery. After several attempts to canulate truncus brachiocephalicus, angiogram revealed the left aortic arch with the aberrant right subclavian artery. To our knowledge, this is the first described case of primary percutaneous coronary intervention via the aberrant right subclavian artery and right internal mammary artery graft with stent implantation in the infarct related lesion of the distal segment of right coronary artery. Subsequent 64-multidetector computed tomography confirmed the angiographic findings. Conclusion. Early recognition of congenital anomalies of the aortic arch and its great vessels, even before coronary artery bypass graft surgery, could be crucial for the urgent and successful treatment of patients with life-threatening conditions, such as ST segment elevation myocardial infarction. arteria lusoria dextra aberrant right subclavian artery ST elevation myocardial infarction percutaneous coronary intervention congenital aortic arch anomalies radial approach Medicine R Stojković Siniša verfasserin aut Tomašević Miloje verfasserin aut Kostić Jelena verfasserin aut Banović Marko verfasserin aut Menković Nemanja verfasserin aut Ostojić Miodrag verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 141(2013), 3-4, Seite 223-227 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:141 year:2013 number:3-4 pages:223-227 https://doi.org/10.2298/SARH1304223A kostenfrei https://doaj.org/article/bfd5e45c534a42478330276729c4b953 kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2013/0370-81791304223A.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 141 2013 3-4 223-227 |
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Introduction. Congenital anomalies of the aortic arch, although numerous and heterogeneous, occur in less than 1% of individuals at autopsies. Left aortic arch with an aberrant right subclavian artery, also called arteria lusoria dextra, is the most common anomaly of the aortic arch, occurring in 0.5-2.5% of individuals. Case Outline. We report the case of a 48-year-old man suffering from acute inferoposterior-wall ST elevation myocardial infarction successfully treated by primary percutaneous coronary intervention. Ten years ago, the patient had undergone coronary artery bypass graft surgery with the implantation of two arterial grafts - left and right internal mammary arteries on both left anterior descending and right coronary artery. After several attempts to canulate truncus brachiocephalicus, angiogram revealed the left aortic arch with the aberrant right subclavian artery. To our knowledge, this is the first described case of primary percutaneous coronary intervention via the aberrant right subclavian artery and right internal mammary artery graft with stent implantation in the infarct related lesion of the distal segment of right coronary artery. Subsequent 64-multidetector computed tomography confirmed the angiographic findings. Conclusion. Early recognition of congenital anomalies of the aortic arch and its great vessels, even before coronary artery bypass graft surgery, could be crucial for the urgent and successful treatment of patients with life-threatening conditions, such as ST segment elevation myocardial infarction. |
abstractGer |
Introduction. Congenital anomalies of the aortic arch, although numerous and heterogeneous, occur in less than 1% of individuals at autopsies. Left aortic arch with an aberrant right subclavian artery, also called arteria lusoria dextra, is the most common anomaly of the aortic arch, occurring in 0.5-2.5% of individuals. Case Outline. We report the case of a 48-year-old man suffering from acute inferoposterior-wall ST elevation myocardial infarction successfully treated by primary percutaneous coronary intervention. Ten years ago, the patient had undergone coronary artery bypass graft surgery with the implantation of two arterial grafts - left and right internal mammary arteries on both left anterior descending and right coronary artery. After several attempts to canulate truncus brachiocephalicus, angiogram revealed the left aortic arch with the aberrant right subclavian artery. To our knowledge, this is the first described case of primary percutaneous coronary intervention via the aberrant right subclavian artery and right internal mammary artery graft with stent implantation in the infarct related lesion of the distal segment of right coronary artery. Subsequent 64-multidetector computed tomography confirmed the angiographic findings. Conclusion. Early recognition of congenital anomalies of the aortic arch and its great vessels, even before coronary artery bypass graft surgery, could be crucial for the urgent and successful treatment of patients with life-threatening conditions, such as ST segment elevation myocardial infarction. |
abstract_unstemmed |
Introduction. Congenital anomalies of the aortic arch, although numerous and heterogeneous, occur in less than 1% of individuals at autopsies. Left aortic arch with an aberrant right subclavian artery, also called arteria lusoria dextra, is the most common anomaly of the aortic arch, occurring in 0.5-2.5% of individuals. Case Outline. We report the case of a 48-year-old man suffering from acute inferoposterior-wall ST elevation myocardial infarction successfully treated by primary percutaneous coronary intervention. Ten years ago, the patient had undergone coronary artery bypass graft surgery with the implantation of two arterial grafts - left and right internal mammary arteries on both left anterior descending and right coronary artery. After several attempts to canulate truncus brachiocephalicus, angiogram revealed the left aortic arch with the aberrant right subclavian artery. To our knowledge, this is the first described case of primary percutaneous coronary intervention via the aberrant right subclavian artery and right internal mammary artery graft with stent implantation in the infarct related lesion of the distal segment of right coronary artery. Subsequent 64-multidetector computed tomography confirmed the angiographic findings. Conclusion. Early recognition of congenital anomalies of the aortic arch and its great vessels, even before coronary artery bypass graft surgery, could be crucial for the urgent and successful treatment of patients with life-threatening conditions, such as ST segment elevation myocardial infarction. |
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