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  • Title: Inferior wall myocardial infarction caused by anomalous right coronary artery.
    Author: Sloan K, Majdalany D, Connolly H, Schaff H.
    Journal: Can J Cardiol; 2008 Dec; 24(12):e102-3. PubMed ID: 19052676.
    Abstract:
    A 50-year-old man without previous coronary disease presented with an inferior myocardial infarction following exercise. He was initially treated with thrombolytic therapy and nitroglycerin. Subsequent coronary angio-graphy and cardiac computed tomography demonstrated an anomalous right coronary artery originating from the left coronary sinus and passing between the aorta and main pulmonary artery. The coronary arteries were otherwise patent. The patient later underwent transaortic unroofing of the anomalous right coronary artery and was discharged in good condition. Un homme de 50 ans qui n’avait pas eu de maladie coronarienne auparavant a consulté en raison d’un infarctus de la région inférieure du myocarde après avoir fait de l’exercice. Il a d’abord reçu un traitement aux thrombolytiques et de la nitroglycérine. La coronarographie subséquente a démontré une artère coronaire droite anormale provenant du sinus coronaire gauche entre l’aorte et la principale artère pulmonaire. Autrement, les artères coronaires étaient libres. Plus tard, le patient a subi une décompression transaortique de l’artère coronaire droite anormale et était bien quand il a obtenu son congé.
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