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From
“Coronary Confusion” Congenital Anomaly of the Left Main Coronary Artery Presenting as a Myocardial Infarction in a Young Female
Mohammed Al-Sadawi, Hope A. Taitt, Michael Haddadin, Shakil Shaikh, Murad Almasri, Angeleque Hartt, Samy I. McFarlane
American Journal of Medical Case Reports
.
2019
, 7(3), 41-45 doi:10.12691/ajmcr-7-3-3
Figure
1
.
Electrocardiogram of the patient at presentation demonstrated ST segment elevation in leads II, III, aVF
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Figure
2
.
Cardiac catheterization revealed the right coronary artery (RCA) continues to supply the LCX territory with focal moderate ectasia. She has a severe single vessel disease at RCA territory: 100 % stenosis in the proximal third of right posterior descending artery (RPDA) –black arrow- and discrete 85 % stenosis in right posterolateral segment (RPLS) just after the RPDA – white arrow-
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Figure
3
.
Cardiac catheterization showing the 2 drug eluting stents placed successfully in the right posterior descending artery (RPDA) and the right posterolateral segment RPLS
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Figure
4
.
CT coronary angiography 3D Reconstruction of coronary vessels
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Figure
5
.
CT coronary angiography demonstrates right coronary artery is superdominant supplying the territory of the obtuse marginals/left circumflex. No LCX
Full size figure and legend