Key result
Percutaneous coronary intervention successfully restored flow and treated an isolated right coronary artery aneurysm complicated by thrombosis and distal embolization in a 40-year-old male with STEMI.
Case Report (n=1)
No
This case highlights that an isolated right coronary artery aneurysm can present as an inferior STEMI due to aneurysmal thrombus formation and distal embolization in the absence of significant atherosclerotic coronary disease.
May prompt consideration of aneurysms in atypical STEMI; hypothesis-generating and should not change practice pending further evidence.
A 40-year-old male patient with no significant medical history was admitted with an inferior ST-segment elevation myocardial infarction. Primary percutaneous coronary intervention revealed a right coronary artery aneurysm, with no evidence of significant coronary disease. We support the hypothesis of aneurysmal thrombus formation with distal embolization.
No takes yet. Share an insight, caveat, or question.
Hennawi et al. (2022) conducted a case report in ST-segment elevation myocardial infarction (STEMI) and right coronary artery aneurysm (n=1). Percutaneous coronary intervention (PCI) was evaluated on Clinical recovery and revascularization success. Percutaneous coronary intervention successfully restored flow and treated an isolated right coronary artery aneurysm complicated by thrombosis and distal embolization in a 40-year-old male with STEMI.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: