Serdal BAŞTUĞ, Abdullah ASLAN, Murat GÜNEY, Cenk SARI, Ahmet ERTEM

Sağ Koroner Arterden Çıkan Sirkümfleks Artere Başarılı Primer Perkütan Koroner Girişim

Koroner arter anomalilerin sıklığı toplumda %1-2 olarak bildirilmektedir. Sıklığı nadir olsa da bu tür konjenital anomaliler miyokard iskemisi ve ani ölüm ile ilişkili bulunduğundan önem arz etmektedir. Biz bu vakada acil servisimize akut posterior miyokard enfarktüsü ile gelen, primer perkütan koroner girişim amacıyla kateter laboratuarına alınan ve koroner anjiyografide sağ koroner arterden köken alan sirkümflex arterde total tıkanıklık saptanan, başarılı primer anjiyoplasti ve stent uyguladığımız 56 yaşında bir erkek hastayı sunduk.

Anahtar Kelimeler:

Koroner arter anomalileri, Akut miyokard enfarktüsü, Perkütan koroner girişim

Successful Primary Percutaneous Intervention to the Circumflex Artery Originating From Right Coronary Artery

The incidence of coronary artery anomalies are reported in 1% to 2% of the population. Although their frequency is rare, these congenital anomalies are important due to their relation with myocardial infarction and sudden cardiac death. In this case, we presented a 56 years old male patient who has been admitted to our emergency service with acute posterior myocardial infarction and transferred to the catheterisation laboratory for the purpose of primary percutaneous coronary intervention. Coronary angiography revealed culprit lesion in anomalous circumflex artery originating from the proximal part of the right coronary artery and the patient was treated with successful primary angioplasty and stent implantation.

Keywords:

Coronary artery anomalies, Acute myocardial infarction, Percutaneous coronary intervention,

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