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Kaljusto, M.L., Koldsland, S., Vengen, O.A., Woldbaek, P.R., Tønnessen, T. “Cardiac tamponade caused by acute spontaneous coronary artery rupture.”J Card Surg. 21 (3), 301-3. 2006.

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Article

Spontaneous Rupture of Right Coronary Artery Presenting as Acute Inferior MI

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


American Journal of Medical Case Reports. 2014, Vol. 2 No. 9, 198-199
DOI: 10.12691/ajmcr-2-9-9
Copyright © 2014 Science and Education Publishing

Cite this paper:
Avinash Murthy, Arti Singh, 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.

Correspondence to: Jay  Meizlish, Division of Cardiology, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06484. Email: artisingh2060@yahoo.com

Abstract

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.

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