Acute coronary syndrome in a young man: Is there anything beyond coronary artery disease?

Harsh Kumar Pandey, Deepanjan Bhattacharya, Bijulal Sasidharan, Ajit Kumar Valaparambil
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Abstract

Background

Acute coronary syndrome is predominantly attributed to atherosclerotic coronary artery disease. However, structural diseases leading to compromised coronary flow can also lead to similar manifestations.

Case presentation

A 35-year-old male had presented with acute coronary syndrome (ACS) NSTEMI and was found to have a cyst on echocardiogram, which was compressing on the left circumflex coronary artery.

Conclusion

Structural diseases including both developmental and anatomical lesions should be considered as a differential in the etiology of acute coronary syndrome in a young individual without any pre-existing co-morbidities.

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年轻人急性冠状动脉综合征:除了冠状动脉疾病之外还有什么吗?
背景:急性冠状动脉综合征主要是由冠状动脉粥样硬化性疾病引起的。然而,导致冠状动脉血流受损的结构性疾病也可导致类似的表现。病例介绍一名35岁男性患者以急性冠状动脉综合征(ACS) NSTEMI为临床表现,超声心动图发现囊肿压迫左旋冠状动脉。结论结构性疾病包括发育性和解剖性病变应被视为年轻个体急性冠状动脉综合征病因的鉴别因素。
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