Primary percutaneous coronary intervention with diagnostic catheter in an anomalous origin right coronary artery—a case report

Autor: Mohd Iqbal Dar, Aamir Rashid, Mohd Iqbal Wani, Hilal A. Rather, Khursheed A. Khan
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: The Egyptian Heart Journal, Vol 72, Iss 1, Pp 1-4 (2020)
Druh dokumentu: article
ISSN: 2090-911X
DOI: 10.1186/s43044-020-00083-z
Popis: Abstract Background Although rare, the possibility of encountering an anomalous coronary artery is a reality. The outcome of such a procedure is greatly influenced by the awareness of the operator about the anatomical variations and the technique required. Case presentation A 50-year-old female patient presented with chest pain. On evaluation, she was found to have an inferior wall myocardial infarction. Left coronary angiography showed non-obstructive disease in the left anterior descending (LAD) and left circumflex artery (LCX). The right coronary artery could not be hooked despite multiple attempts and catheter changes. A non-specific aortic angiogram revealed anomalous origin of the right coronary artery (RCA) above the sinotubular junction on the left side. RCA was hooked with the AL-2 diagnostic catheter, and the percutaneous coronary intervention (PCI) procedure was completed via the same diagnostic catheter. Conclusion In a life-threatening difficult situation like acute coronary syndrome with anomalous origin of coronary arteries, PCI can be done using a diagnostic catheter.
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