Multimodality Imaging in a Patient With MINOCA and Anomalous Coronary Artery.

ABSTRACT:

Background

Myocardial infarction with nonobstructive coronary arteries (MINOCA) is a heterogeneous condition requiring multimodal imaging for accurate diagnosis and management. Identifying the underlying etiology is crucial for guiding treatment.

Case summary

A 60-year-old man with hypertension and no prior coronary artery disease presented with angina. Single-photon emission computed tomography revealed ischemia in the mid-basal septum, and coronary computed tomography angiography (CCTA) identified an anomalous septal artery with an interarterial course. Three years later, he was admitted with non-ST-segment elevation myocardial infarction. Coronary angiography showed no obstructive lesions, but cardiac magnetic resonance confirmed a recent infarction in the mid-septum. A r

SUBMITTER: Gueli IA 

PROVIDER: S-EPMC12273847 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature