Percutaneous coronary intervention in a rare variety of single coronary artery
| Autor: | Yadvinder Singh, Nagesh C. Mahadevappa, Babu Reddy, Srinivas C. Budanur, Manjunath C. Nanjappa, Vinoth Kumar Vilvanathan |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Single coronary ostium
Male medicine.medical_specialty RD1-811 medicine.medical_treatment Coronary Vessel Anomalies Case Report Coronary Angiography Percutaneous coronary intervention Lesion Electrocardiography Culprit artery medicine.artery Internal medicine Single coronary artery medicine Diseases of the circulatory (Cardiovascular) system Humans Angina Unstable cardiovascular diseases Ischaemic heart disease business.industry Unstable angina Coronary artery anomalies Middle Aged medicine.disease Right coronary artery RC666-701 Conventional PCI Cardiology cardiovascular system Surgery Radiology medicine.symptom business Cardiology and Cardiovascular Medicine Tomography X-Ray Computed |
| Zdroj: | Indian Heart Journal, Vol 67, Iss S3, Pp S47-S48 (2015) |
| ISSN: | 0019-4832 |
| DOI: | 10.1016/j.ihj.2015.06.032 |
| Popis: | We present a case of 50-year-old male having unstable angina. A rare type of single coronary artery was identified during the Coronary angiogram. The left anterior descending (LAD) and left circumflex artery (LCX) had originated from the proximal segment of right coronary artery along with significant lesion in LCX. Computed tomographic (CT) coronary angiogram confirmed the origin and course following which successful percutaneous coronary intervention (PCI) was done to LCX. The incidence of this type of coronary anomaly is 0.004%. We emphasize the importance of having a CT coronary angiogram to identify the course before the intervention. The procedural risk during PCI in patients with single coronary ostium is high. Moreover, the angulation and course of the culprit artery also pose a challenge. Good coaxial guide support by using an appropriate guiding catheter is the key to success. |
| Databáze: | OpenAIRE |
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