Acute coronary syndrome (NSTEMI) in patient with coronary artery anomaly

Abstract

Congenital abnormalities of the coronary arteries are found in 0.6–1.5% of patients in coronary angiographies and most ofthem are benign. Their presence may prolong the time of the examination which is important especially in patients withacute coronary syndromes (ACS). The incidence of coronary artery anomaly with critical stenosis in the anomalous vessel mayimpose technical problems during percutaneous coronary intervention (PCI). We report the case of a patient with one of themost common coronary anomaly and ACS treated with multivessel PCI.