When the inferior wall speaks in anterior myocardial infarction: The wrap-around LAD Phenomenon

Khadija Dekkak; Amal Hsain; Nesma Bendagha; Rokya Fellat

doi:10.30574/ijsra.2026.18.3.0483

ISSN Approved Journal || eISSN: 2582-8185 || CODEN: IJSRO2 || Impact Factor 8.2 || Google Scholar and CrossRef Indexed

Peer Reviewed and Referred Journal || Free Certificate of Publication

Research and review articles are invited for publication in March 2026 (Volume 18, Issue 3) Submit manuscript

When the inferior wall speaks in anterior myocardial infarction: The wrap-around LAD Phenomenon

Khadija Dekkak ^*, Amal Hsain, Nesma Bendagha and Rokya Fellat

Department of Cardiology, CHU Ibn Sina,– Cardiology Unit A, National League for the Fight Against Cardiovascular Diseases, Mohamed V University – Rabat – Morocco.

Case Report

International Journal of Science and Research Archive, 2026, 18(03), 857-860

Article DOI: 10.30574/ijsra.2026.18.3.0483

DOI url: https://doi.org/10.30574/ijsra.2026.18.3.0483

Publication history

Received on 31 January 2026; revised on 08 March 2026; accepted on 10 March 2026

Abstract

Acute myocardial infarction (AMI) remains a leading cause of morbidity and mortality worldwide. Anterior myocardial infarction classically presents with ST-segment elevation in precordial leads, often accompanied by reciprocal ST depression in inferior leads. However, in rare situations, anterior MI may present with concomitant inferior ST-segment elevation. This atypical electrocardiographic pattern is most frequently explained by occlusion of a wrap-around left anterior descending artery (LAD), which supplies a significant portion of the inferior wall. We report the case of a 58-year-old man admitted for acute chest pain with simultaneous anterior and inferior ST-segment elevation, in whom coronary angiography revealed a distal occlusion of a large wrap-around LAD. Early recognition of this pattern is essential, as it reflects a large ischemic territory and is associated with a high risk of complications.

Keywords

Anterior myocardial infarction; Inferior ST-segment elevation; Wrap-around LAD; Coronary angiography; Primary PCI

Download Article PDF

https://ijsra.net/sites/default/files/fulltext_pdf/IJSRA-2026-0483.pdf

Preview Article PDF

How to cite this article

Khadija Dekkak, Amal Hsain, Nesma Bendaghaand Rokya Fellat. When the inferior wall speaks in anterior myocardial infarction: The wrap-around LAD Phenomenon. International Journal of Science and Research Archive, 2026, 18(03), 857-860. Article DOI: https://doi.org/10.30574/ijsra.2026.18.3.0483.

Copyright © Author(s). All rights reserved. This article is published under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, sharing, adaptation, distribution, and reproduction in any medium or format, as long as appropriate credit is given to the original author(s) and source, a link to the license is provided, and any changes made are indicated.

All statements, opinions, and data contained in this publication are solely those of the individual author(s) and contributor(s). The journal, editors, reviewers, and publisher disclaim any responsibility or liability for the content, including accuracy, completeness, or any consequences arising from its use.