Coexistence of myocardial infarction with normal coronary arteries and a left circumflex artery anomaly originating from the right coronary artery with a bridge in the left anterior descending artery

Acute Thrombotic Coronary Occlusion in a Patient with Coronary Artery Anomaly

Patients with coronary artery anomalies are more susceptible to develop acute thrombotic coronary occlusions due to the abnormal anatomy of these arteries and the disturbance of the pathophysiological mechanisms that lead to an accelerated atherosclerosis development. The following article presents the case of a 64-year-old female patient diagnosed with anterior ST-segment elevation myocardial infarction. The patient underwent primary percutaneous coronary intervention, which revealed the absence of the right coronary artery and separated origins of the left anterior descending artery and the left circumflex artery from the aorta.