American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2014, 2(9), 198-199
DOI: 10.12691/ajmcr-2-9-9
Open AccessCase Report

Spontaneous Rupture of Right Coronary Artery Presenting as Acute Inferior MI

Avinash Murthy1, Arti Singh1 and Jay Meizlish1,

1Division of Cardiology, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06484

Pub. Date: September 22, 2014

Cite this paper:
Avinash Murthy, Arti Singh and Jay Meizlish. Spontaneous Rupture of Right Coronary Artery Presenting as Acute Inferior MI. American Journal of Medical Case Reports. 2014; 2(9):198-199. doi: 10.12691/ajmcr-2-9-9


A 73 year old female with coronary artery disease presents with chest pain, and diagnosed with inferior STEMI. Coronary angiography revealed patent left coronary system with no new disease. Right coronary artery angiogram revealed extravasation of contrast into the pericardium at the mid portion of the RCA with severe disease thereafter. We present a rare case of spontaneous coronary artery rupture of the RCA presenting as an acute MI. Few such cases have been reported thus far. Management was challenging, and not well defined in literature. Prompt recognition of this entity may contribute to optimal therapy and better outcomes.

spontaneous coronary artery rupture

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