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Severe left anterior descending artery stenosis with proximal arteriovenous malformation presenting as acute myocardial infarction

Oteh M., and Azarisman S.M.S., and Hanim N.M.A., and Noorfaizan S., (2009) Severe left anterior descending artery stenosis with proximal arteriovenous malformation presenting as acute myocardial infarction. Singapore Medical Journal, 50 (2). pp. 76-78. ISSN 0037-5675

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Official URL: http://smj.sma.org.sg/smjcurrent.html

Affiliations

Hospital Universiti Kebangsaan Malaysia. Dept. of Medicine
International Islamic University Malaysia. Kulliyah of Medicine
Hospital Universiti Kebangsaan Malaysia. Dept. of Medicine
Hospital Universiti Kebangsaan Malaysia. Dept. of Medicine

Abstract

Congenital coronary artery anomalies are rare, with an incidence of about 0.06–1.3 percent of all patients undergoing cardiac catheterisation. They are commonly asymptomatic, but potentially serious lesions may lead to myocardial ischaemia, infarction and/or sudden cardiac death. The occurrence of a concomitant stenotic lesion is
exceedingly rare. We report an 80-year-old man who presented with acute anterior myocardial infarction. Coronary angiography revealed severe proximal left anterior descending (LAD) and arteriovenous malformation (AVM) from the first septal branch of the LAD. The LAD stenosis
and the AVM were successfully treated with two Jomed® covered stents.

Item Type:Journal
Keywords:acute anterior myocardial infarction, arteriovenous malformation, congenital coronary artery anomalies, left anterior descending artery, myocardial infarct
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:11150

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