Ugalde Héctor, Muñoz Macarena, Ugalde Diego, García Sebastián
Facultad de Medicina, Universidad de Chile, Chile.
Rev Med Chil. 2012 Jan;140(1):88-92. Epub 2012 Apr 12.
Anomalous origin of coronary arteries is a rare anatomical defect and its association with acute myocardial infarction is unusual. We report a 58-year-old male with ST-Segment elevation. Myocardial infarction of the inferior wall caused by a total occlusion on the proximal third of an anomalous right coronary artery, that was effectively treated with primary angioplasty with stent placement. The patient had a favorable outcome and is asymptomatic after five years of follow up.
冠状动脉异常起源是一种罕见的解剖学缺陷，其与急性心肌梗死的关联并不常见。我们报告一例58岁男性出现ST段抬高。异常右冠状动脉近端三分之一处完全闭塞导致下壁心肌梗死，通过植入支架的直接血管成形术得到有效治疗。患者预后良好，随访五年后无症状。
