Circulation Journal
Online ISSN : 1347-4820
Print ISSN : 1346-9843
ISSN-L : 1346-9843
Case Report
Acute Myocardial Infarction Caused by "Malignant" Anomalous Right Coronary Artery Detected by Multidetector Row Computed Tomography
Minoru IchikawaSei KomatsuHiroshi AsanumaAkio IwataTamayo IshikoAtsushi HirayamaYoung-Jae LimKazuhisa KodamaMasayoshi Mishima
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2005 Volume 69 Issue 12 Pages 1564-1567

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Abstract

Anomalous coronary arteries are usually identified incidentally by angiography or autopsy, but some "malignant" coronary anomalies are associated with a high incidence of syncope, arrhythmia, myocardial infarction, and sudden death. So far, the pathogenesis of the coronary events in such cases has only been revealed by autopsy. In the present case report, a patient with anomalous origin of the right coronary artery from the left sinus of Valsalva developed acute myocardial infarction, and visualization of the anomaly and assessment of the culprit plaque in the artery were done by multidetector row computed tomography and intravascular ultrasound. (Circ J 2005; 69: 1564 - 1567)

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© 2005 THE JAPANESE CIRCULATION SOCIETY
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