{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T20:20:40Z","timestamp":1793996440424,"version":"4.8.0"},"reference-count":15,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>We describe a 35\u2010year\u2010old male patient who had acute inferior myocardial infarction based on clinical signs and electrocardiographic abnormalities after experiencing sudden chest pain for 2\u2009h. An abnormal origin of the right coronary artery (RCA) from the left coronary sinus was discovered by emergency coronary angiography, along with mild stenosis in the mid\u2010RCA segment that persisted even after intracoronary nitroglycerin was administered. The mid\u2010RCA lesion was identified by intravascular ultrasonography (IVUS) as a 48% stenotic fibro\u2010lipid plaque with a lipid core and thin fibrous top. A minimum luminal diameter of 2.14\u2009mm was found at the deformed RCA ostium with concomitant myocardial bridging. The patient experienced total symptom alleviation and an uneventful recovery after receiving dual antiplatelet therapy, intense lipid\u2010lowering treatment, diltiazem for myocardial bridging, and stringent risk factor control. For long\u2010term risk reduction, a multidisciplinary evaluation is planned for surgical of the coronary abnormality. In addition to highlighting the significance of tailored management approaches for congenital coronary anomalies combined with acquired vulnerable plaques, this case underscores the crucial role of multimodality imaging, particularly IVUS, in accurate etiological diagnosis and treatment decision\u2010making for young patients with acute myocardial infarction (AMI) caused by complex coronary lesions.<\/jats:p>","DOI":"10.1002\/ccd.70877","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T05:57:41Z","timestamp":1788933461000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Acute Inferior Myocardial Infarction with Anomalous Origin of the Right Coronary Artery, Myocardial Bridging and Fibro\u2010Lipid Plaque"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3738-0292","authenticated-orcid":false,"given":"Jun","family":"Shen","sequence":"first","affiliation":[{"name":"Department of Cardiology Suzhou Ninth Hospital Affiliated to Soochow University, Suzhou Ninth People's Hospital  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8780-8302","authenticated-orcid":false,"given":"Yanming","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Cardiology Suzhou Ninth Hospital Affiliated to Soochow University, Suzhou Ninth People's Hospital  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4893-5262","authenticated-orcid":false,"given":"Biao","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiology Suzhou Ninth Hospital Affiliated to Soochow University, Suzhou Ninth People's Hospital  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"issue":"12","key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1161\/CIRCULATIONAHA.121.055347","article-title":"Coronary Artery Anomalies","volume":"144","author":"Gentile F.","year":"2021","journal-title":"Circulation"},{"issue":"4","key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"54","DOI":"10.14797\/mdcvj.1613","article-title":"Coronary Artery Anomalies in Review: Anomalous Origin, Aneurysms, and Fistulae","volume":"21","author":"Hoover J. A.","year":"2025","journal-title":"Methodist DeBakey Cardiovascular Journal"},{"issue":"22","key":"e_1_2_7_4_1","doi-asserted-by":"crossref","first-page":"2196","DOI":"10.1016\/j.jacc.2021.09.859","article-title":"Myocardial Bridging: Diagnosis, Functional Assessment, and Management: JACC State\u2010of\u2010the\u2010Art Review","volume":"78","author":"Sternheim D.","year":"2021","journal-title":"Journal of the American College of Cardiology"},{"issue":"26","key":"e_1_2_7_5_1","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1016\/j.jcmg.2024.12.004","article-title":"Vulnerable or High\u2010Risk Plaque: A JACC: Cardiovascular Imaging Position Statement","volume":"18","author":"Vergallo R.","year":"2025","journal-title":"JACC. Cardiovascular imaging"},{"issue":"10","key":"e_1_2_7_6_1","doi-asserted-by":"crossref","first-page":"1799","DOI":"10.1016\/j.jcmg.2022.04.026","article-title":"Clinical Utility of Intravascular Imaging: Past, Present, and Future","volume":"15","author":"Mintz G. S.","year":"2022","journal-title":"JACC Cardiovasc Imaging"},{"issue":"13","key":"e_1_2_7_7_1","first-page":"e771","article-title":"2025 ACC\/AHA\/ACEP\/NAEMSP\/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes: A Report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"151","author":"Rao S. 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R.","year":"2023","journal-title":"Current Problems in Cardiology"},{"issue":"1","key":"e_1_2_7_11_1","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1186\/s13019-023-02354-7","article-title":"Management of Anomalous Origin of Right Coronary Artery from Left Coronary Sinus","volume":"28","author":"Mangel T.","year":"2023","journal-title":"Journal of Cardiothoracic Surgery"},{"issue":"1","key":"e_1_2_7_12_1","doi-asserted-by":"crossref","first-page":"11","DOI":"10.3390\/jcdd7010011","article-title":"Carotid and Femoral Atherosclerotic Plaques in Asymptomatic and Non\u2010Treated Subjects: Cardiovascular Risk Factors, 10\u2010Years Risk Scores, and Lipid Ratios Capability to Detect Plaque Presence, Burden, Fibro\u2010Lipid Composition and Geometry","volume":"7","author":"Marin M.","year":"2020","journal-title":"Journal of Cardiovascular Development and Disease"},{"key":"e_1_2_7_13_1","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2021.824128","article-title":"Combined Use of Multiple Intravascular Imaging Techniques in Acute Coronary Syndrome","volume":"8","author":"Kubo T.","year":"2022","journal-title":"Frontiers in Cardiovascular Medicine"},{"issue":"22","key":"e_1_2_7_14_1","doi-asserted-by":"crossref","first-page":"2196","DOI":"10.1016\/j.jacc.2021.09.859","article-title":"Myocardial Bridging: Diagnosis, Functional Assessment, and Management: JACC State\u2010of\u2010the\u2010Art Review","volume":"78","author":"Sternheim D.","year":"2021","journal-title":"Journal of the American College of Cardiology"},{"issue":"42","key":"e_1_2_7_15_1","doi-asserted-by":"crossref","first-page":"4359","DOI":"10.1093\/eurheartj\/ehaf190","article-title":"2025 Focused Update of the 2019 ESC\/EAS Guidelines for the Management of Dyslipidaemias","volume":"46","author":"Mach F.","year":"2025","journal-title":"European Heart Journal"},{"issue":"1","key":"e_1_2_7_16_1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.jcin.2025.11.021","article-title":"IVUS, OCT, or Angiography as Guidance for PCI in Complex Coronary Artery Lesions: Network Meta\u2010Analysis of Randomized Controlled Trials","volume":"19","author":"Carvalho P. 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