Acute inferior STEMI in a unique setting: case report on anomalous circumflex and multivessel coronary artery disease - Report - MDSpire

Acute inferior STEMI in a unique setting: case report on anomalous circumflex and multivessel coronary artery disease

  • By

  • Hesham Salah Eldin Taha

  • Mirna Mamdouh Shaker

  • May 26, 2026

  • 0 min

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Clinical Report: Acute Inferior STEMI Associated with Anomalous Circumflex

Overview

This case report details a 59-year-old male with an anomalous circumflex artery presenting with an inferior STEMI and multi-vessel coronary artery disease. The findings highlight the challenges in diagnosing and managing acute coronary syndromes in the presence of congenital coronary artery anomalies.

Background

Congenital coronary artery anomalies (CCAA) are rare but can lead to serious cardiovascular events, including myocardial infarction and sudden cardiac death. The incidence of CCAA ranges from 0.2% to 5.6%, with the circumflex artery anomaly being one of the more common types. Understanding these anomalies is crucial for appropriate diagnosis and management, particularly in acute settings.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

Rephrase findings for clarity and ensure they are directly supported by case details.

Clinical Implications

Healthcare professionals should be aware of the potential for congenital coronary anomalies to present as acute coronary syndromes. Accurate identification and management of these anomalies are essential, particularly in patients with multi-vessel disease.

Conclusion

This case underscores the importance of recognizing congenital coronary artery anomalies in patients presenting with STEMI, as they can significantly impact treatment strategies and outcomes.

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