Key result
PCI with proximal RCA stenting successfully treats AMI in a patient with anomalous coronary origin.
Case Report (n=1)
Percutaneous coronary intervention with stenting can successfully treat acute myocardial infarction in patients with an anomalous origin of the circumflex artery from the right coronary artery.
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PCI viable in AMI with anomalous LCx from RCA; extends case evidence but leaves open broader adoption pending more data.
The authors describe myocardial infarction in a 73-year-old patient. Urgent coronary angiography revealed a variant of anomalous origin of coronary artery (AOCA) (circumflex artery arising from the proximal part of the right coronary artery). Clinical, echocardiographic and angiographic data on acute myocardial infarction necessitated percutaneous coronary intervention with proximal right coronary artery stenting. Recovery period was uneventful with positive dynamics in clinical, electrocardiographic and laboratory parameters. The paper discusses the prevalence of coronary artery anomalies. The need for early detection of AOCA is emphasized because this anomaly may be associated with myocardial ischemia, cardiac arrhythmias and sudden cardiac death. The role of echocardiography in visualization of the so-called RAC-sign typical for retroaortic course of abnormally located CA is discussed separately. CT and coronary angiography are crucial for detecting AOCA.
Bort et al. (2026) conducted a case report in Acute myocardial infarction associated with anomalous origin of coronary artery (n=1). Percutaneous coronary intervention with proximal right coronary artery stenting was evaluated on Clinical recovery. Percutaneous coronary intervention with proximal right coronary artery stenting successfully treated acute myocardial infarction in a 73-year-old patient with an anomalous coronary artery origin.
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