A case of acute myocardial infarction in a patient with congenital atresia of the left coronary artery

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Abstract


A clinical example of a rare pathology is presented – a congenital anomaly of the coronary arteries, namely, atresia of the trunk of the left coronary artery in a young patient of 40 years old. This pathology was asymptomatic and was suddenly manifested by the development of acute myocardial infarction in a patient with a single right coronary artery. Clinical, laboratory and instrumental research methods using modern technologies are described in detail. In the article, the authors discuss the genesis of the development of acute coronary syndrome, due to a possible connection with the activation of cytomegalovirus infection.


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Anna G. Evdokimova

Yevdokimov Moscow State University of Medicine and Dentistry

Author for correspondence.
Email: aevdokimova@rambler.ru
ORCID iD: 0000-0003-3310-0959

Russian Federation, Moscow

D. Sci. (Med.), Prof., Yevdokimov Moscow State University of Medicine and Dentistry

Vladimir V. Popov

Yevdokimov Moscow State University of Medicine and Dentistry

Email: aevdokimova@rambler.ru

Russian Federation, Moscow

Cand. Sci. (Med.), Yevdokimov Moscow State University of Medicine and Dentistry

Olga A. Shuiskaya

Yevdokimov Moscow State University of Medicine and Dentistry

Email: aevdokimova@rambler.ru

Russian Federation, Moscow

Officer, Yevdokimov Moscow State University of Medicine and Dentistry

Irina S. Mikhailova

Yevdokimov Moscow State University of Medicine and Dentistry

Email: aevdokimova@rambler.ru

Russian Federation, Moscow

Cand. Sci. (Med.), Yevdokimov Moscow State University of Medicine and Dentistry

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Supplementary files

Supplementary Files Action
1.
Fig. 1. ECG of patient M. from 13.10.2018 upon admission to the ICU.

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2.
Fig. 2. Coronary angiography of patient M. from 13.10.2018.

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