Wrapped left anterior descending artery STEMI: time to revisit

• Main Authors: Mochamad Yusuf Alsagaff, -, Novia Kusumawardhani, -
• Format: Article PeerReviewed
• Language: English; English; English; English
• Published: BMJ Publishing Group 2021
• Subjects: R5-920 Medicine (General)
• Online Access: https://repository.unair.ac.id/126036/1/8.%20Wrapped%20Left%20Anterior%20Descending%20Artery%20STEMI%20Time%20to%20Revisit_BMJ%20Case%20Report%202021.pdf; https://repository.unair.ac.id/126036/2/8.%20Korespondensi.pdf; https://repository.unair.ac.id/126036/3/karil%208.pdf; https://repository.unair.ac.id/126036/4/8.%20Turnitin.pdf; https://repository.unair.ac.id/126036/; https://casereports.bmj.com/content/14/1/e237839; http://dx.doi.org/10.1136/bcr-2020-237839
• Institution: Universitas Airlangga

We report three cases of acute myocardial infarction caused by left anterior descending (LAD) artery occlusion presenting as ST elevation in the inferior. Therefore, coronary angiography showed an occlusion of the LAD coronary artery. Our cases show the rare occurrence of left coronary circulation dominance affecting inferior leads. These cases show an unusual and very rare form of left dominance coronary circulation where LAD is wrapped around the apex and continuing as a posterior descending artery. This would make inferior myocardial infarction because of occluded LAD or determine as wrapped LAD.