AUTHOR=Niu Qiang , Zhao Yunhe , Li Haiying , Wang Qilei , Zhu Haijun , Bi Chenglong , Zhang Hui , Wang Jian , Cheng Cheng , Song Beibei , Jin Chengwei , Lv Ming , Li Bo TITLE=Case report: Treatment of a patient with STEMI and cardiogenic shock caused by RCA originating from LAD JOURNAL=Frontiers in Cardiovascular Medicine VOLUME=9 YEAR=2023 URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2022.1036274 DOI=10.3389/fcvm.2022.1036274 ISSN=2297-055X ABSTRACT=

The right coronary artery (RCA) originating from the left anterior descending artery (LAD) is a very rare variation of coronary artery anomaly. This kind of anomaly is usually considered to be clinically benign. Here, we present an acute myocardial infarction patient with a single coronary artery (SCA), in whom the LAD and RCA are both occlusive at the same time. He suffered from ventricular fibrillation, cardiogenic shock, and severe bradyarrhythmias many times. Fortunately, this patient survived from death through our effective medical procedures.