Successful coronary angioplasty of a spontaneous occlusion of the conus artery causing a ST-segment elevation myocardial infarction and electrical storm
Year: 2024
Type: article
Study design: Case Report
Abstract: Background Conus artery occlusion is a rare life-threatening event, typically secondary to iatrogenic etiology, and treated mainly with conservative therapy and/or balloon angioplasty without stenting. However, treatment remains challenging.Case presentation: We report the case of a 60 years old man with known history of coronary artery disease presenting with multiple internal defibrillator cardioversion due to electrical storm (recurrent ventricular fibrillation). The coronary angiography showed an acute occlusion of the conus artery arising from the proximal segment of the right coronary artery, treated by percutaneous transluminal coronary angioplasty with stenting (drug-eluting stent) without any serious complications.Conclusions To our knowledge, this is the first case in literature where a non-iatrogenic occlusion of the conus artery causing a ST-segment elevation myocardial infarction and electrical storm was treated with percutaneous coronary intervention with drug-eluting stenting.
Authors: Ibrahim Hatoum, Philippe RICCINI
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4402925401