Acute Myocardial Infarction and Syncope Caused by Interarterial Subtype of a Coronary Artery Originating From Anomalous Aorta:a Case Report

VernacularTitle:大动脉间型冠状动脉异常起源于主动脉致急性心肌梗死伴晕厥一例
Author: Chong PAN ^{1
,

2} ; Chongjian LI ; Quanhe WANG ; Hongzhao YOU ; Changwei WU ; Hongliang ZHANG ; Zhenyan ZHAO ; Fenghuan HU ; Yongjian WU
Author Information

1. 中国医学科学院北京协和医学院国家心血管病中心阜外医院冠心病中心,北京 100037
2. 郑州大学附属郑州中心医院心内科,郑州 450007
Keywords: interarterial subtype; anomalous origin of coronary artery; acute myocardial infarction; syncope
From: Chinese Circulation Journal 2024;39(9):917-919
CountryChina
Language:Chinese
Abstract: Interarterial subtype of coronary artery with anomalous aortic origin is a rare and congenital cardiovascular malformation,manifested by chest pain and syncope after exertion or activity,which can lead to decreased cardiac contractility,myocardial infarction,and even sudden death.Here we report a case of an adolescent patient,who presented with chest pain during activity accompanied by syncope and lost consciousness.Initially diagnosed with acute myocardial infarction,the patient was subsequently diagnosed as interarterial subtype of a coronary artery originating from anomalous aorta after echocardiography,coronary angiography,coronary CT angiography examinations.After anomalous coronary artery correction and coronary angioplasty,the paitent recovered well.