To present a case of a patient with an anomalous circumflex coronary artery (Cx) and discuss its implications in the context of acute inferior STEMI and multivessel coronary artery disease (CAD).
Approach:
Key Findings:
The patient had an anomalous Cx originating from the proximal RCA.
Significant stenosis was found in both the RCA and the anomalous Cx.
The ECG criteria for identifying the culprit artery were hypothesized to remain applicable despite the anomaly.
Interpretation:
Anomalous coronary arteries can lead to acute coronary events, and their management in the context of multivessel disease requires careful consideration of existing guidelines, which may not adequately address acute scenarios.
Limitations:
The case report is based on a single patient, limiting generalizability to broader populations.
Existing guidelines primarily address elective cases, leaving a gap in acute management strategies that need to be addressed.
Conclusion:
The case highlights the potential for anomalous coronary arteries to cause significant clinical events and emphasizes the need for tailored management strategies in such cases.
