Anomalous Coronary Artery From the Opposite Sinus (ACAOS): Technical Challenges During Percutaneous Coronary Intervention
| Autor: | Puneet Aggarwal, Lokendra Rekwal, Sunil Tripathi, Anupam Singh, Nishant Kumar Abhishekh, Vinay Krishna, Anupam Mahrotra, Santosh Kumar Sinha, Mahmodula Razi |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Case Report 030204 cardiovascular system & hematology Culprit Anomalous right coronary artery 03 medical and health sciences 0302 clinical medicine Hockey stick guide medicine.artery Internal medicine medicine 030212 general & internal medicine Myocardial infarction Floating wire technique Non-ST segment elevation myocardial infarction business.industry Percutaneous coronary intervention medicine.disease Coronary arteries Catheter medicine.anatomical_structure Early invasive intervention Hockey stick Right coronary artery Cardiology Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Cardiology Research |
| ISSN: | 1923-2837 1923-2829 |
| Popis: | Anomalies of the coronary arteries are reported in 1-2% of patients among diagnostic angiogram. Ectopic origin of right coronary artery (RCA) from opposite sinus is one of the most common and they are mainly benign, but at times may be malignant. We report a case of a 69-year-old male who underwent early invasive percutaneous coronary intervention for non-ST-segment elevation myocardial infarction (NSTEMI) where RCA arising from left sinus at the root of left main artery was culprit and various technical challenges were encountered while intervening in form of cannulation to tracking of hardwares. RCA was cannulated with floating wire technique using hockey stick guide catheter and revascularized by deployment of 3.5 × 38 mm Promus Premier Everolimus eluting stent (Boston Scientific, USA). To the best of our knowledge, this is the first ever report of ectopic RCA being revascularized by using hockey stick catheter. |
| Databáze: | OpenAIRE |
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