Wrap-around LAD and the role of multimodal imaging
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| Názov: | Wrap-around LAD and the role of multimodal imaging |
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| Autori: | Maria Jose Santa-Ana-Bayona, Camila Ponce-Acosta, Gilberto H. Acosta-Gutiérrez, Miguel Ángel Pardiño-Vega, Mauricio Garcia-Cadernas, Enrique Ruiz-Mori, Natalia Martinez-Jimenez, Enrique C. Guerra, Nilda Espinola-Zavaleta |
| Zdroj: | Radiol Case Rep Radiology Case Reports, Vol 20, Iss 7, Pp 3420-3424 (2025) |
| Informácie o vydavateľovi: | Elsevier BV, 2025. |
| Rok vydania: | 2025 |
| Predmety: | STEMI, Medical physics. Medical radiology. Nuclear medicine, Multimodal imaging, R895-920, Wrap-around, Case Report, Acute myocardial infarction, Coronary artery |
| Popis: | Acute myocardial infarction remains a major cause of morbidity and mortality, with the left anterior descending artery being most commonly implicated. Anatomical variants, such as the "wrap-around" configuration, can significantly influence myocardial perfusion patterns, infarct size, and clinical outcomes, emphasizing the importance of accurate identification in acute coronary syndromes. We present the case of a 72-year-old male with ST-segment elevation myocardial infarction (STEMI), whose initial electrocardiogram indicated an anteroseptal infarction. Due to limited access to catheterization facilities, thrombolytic therapy was administered, achieving successful reperfusion. A subsequent multimodal imaging assessment revealed an atypical infarct distribution and identified a wrap-around left anterior descending artery with critical stenosis, highlighting the variant's diagnostic and therapeutic relevance in STEMI management and the utility of multimodal imaging. |
| Druh dokumentu: | Article Other literature type |
| Jazyk: | English |
| ISSN: | 1930-0433 |
| DOI: | 10.1016/j.radcr.2025.04.018 |
| Prístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/40337331 https://doaj.org/article/d9fabc60287f481e8ac05c95cd5be935 |
| Rights: | CC BY NC ND |
| Prístupové číslo: | edsair.doi.dedup.....46c49872894f2e15699e800e2c7c7cd8 |
| Databáza: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Acute myocardial infarction remains a major cause of morbidity and mortality, with the left anterior descending artery being most commonly implicated. Anatomical variants, such as the "wrap-around" configuration, can significantly influence myocardial perfusion patterns, infarct size, and clinical outcomes, emphasizing the importance of accurate identification in acute coronary syndromes. We present the case of a 72-year-old male with ST-segment elevation myocardial infarction (STEMI), whose initial electrocardiogram indicated an anteroseptal infarction. Due to limited access to catheterization facilities, thrombolytic therapy was administered, achieving successful reperfusion. A subsequent multimodal imaging assessment revealed an atypical infarct distribution and identified a wrap-around left anterior descending artery with critical stenosis, highlighting the variant's diagnostic and therapeutic relevance in STEMI management and the utility of multimodal imaging. |
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| ISSN: | 19300433 |
| DOI: | 10.1016/j.radcr.2025.04.018 |