Aortic arch variant presenting as an acute ST elevation myocardial infarction. (10th January 2013)

• Record Type: Journal Article
• Authors: Alirhayim, Zaid; Qureshi, Waqas; Shafiq, Ali; Hassan, Syed
• Is Part Of: BMJ case reports. Volume 2013
• Publication Date: 2013-01-10
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2012-007962
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A woman in her 40s presented to our institution with a first episode of sudden-onset right-sided chest pain. Initially, her ECG revealed ST segment elevation in leads V1–V3 and cardiac biomarkers were elevated with a troponin I (TnI) 5 µg/l. Her cardiac risk factors included type II diabetes mellitus and a history of hypertension. Intravenous heparin was initiated and emergent cardiac catheterisation revealed non-obstructive coronary artery disease. A two-dimensional echocardiogram confirmed hypokinesis of the anterior wall. A CT thorax demonstrated a rare anatomical variant of the aortic arch with an aberrant right subclavian artery. This is a rare case of an aortic arch anomaly presenting as a myocardial infarction.