Congenital Absence of Left Main Coronary Artery with Anomalous Origin of Left Anterior Descending and Left Circumflex Arteries Presenting with Acute Non-ST Elevation Myocardial Infarction

Mohammed Al-Sadawi¹, Muhammad Ihsan¹, Arismendy Nunez Garcia¹, Muhammad Dogar¹, Jessica Celenza-Salvatore¹ and Samy I. McFarlane^1,

¹Department of Internal Medicine, Division of Cardiology, State University of New York: Downstate Medical Center, Brooklyn, New York, United States-11203

Cite this paper

Mohammed Al-Sadawi, Muhammad Ihsan, Arismendy Nunez Garcia, Muhammad Dogar, Jessica Celenza-Salvatore and Samy I. McFarlane. Congenital Absence of Left Main Coronary Artery with Anomalous Origin of Left Anterior Descending and Left Circumflex Arteries Presenting with Acute Non-ST Elevation Myocardial Infarction. American Journal of Medical Case Reports. 2019; 7(10):264-266. doi: 10.12691/AJMCR-7-10-10

Abstract

Congenital coronary artery anomalies are rare disease entities, occur only in 0.3%-5.6% of the general population. These anomalies could lead to serious complications in some cases and is associated with associated with sudden death due to lethal arrhythmias and premature coronary artery disease. Diagnosis of these anomalies is generally made during angiography. In this report, we present a rare case of absent left main coronary artery and anomalous origins of left anterior descending artery and left circumflex artery from right sinus of Valsalva in a 62 year old man presented with non-ST elevation myocardial infarction (NSTEMI).

Keywords

congenital absence of left main coronary artery, anomalous origin of left anterior descending and left circumflex arteries, acute non-st elevation myocardial infarction

Copyright

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