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Vol 14, No 4 (2019)
Case report
Published online: 2019-06-17

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Anomalous right coronary artery from the left aortic sinus: technical issues during revascularisation

Santosh Kumar Sinha1, Kumar Himanshu1, Puneet Aggarwal1, Mahmodulla Razi1, Vinay Krishna1
Folia Cardiologica 2019;14(4):392-396.

Abstract

Anomalies of the coronary arteries are reported in 1–2% of patients subject to a diagnostic angiogram. Ectopic origin of right coronary artery from the opposite sinus is one of the most common, and while mainly benign, at times may be malignant. We report the case of a 72 year-old male who underwent percutaneous coronary intervention for chronic stable angina who had a critically diseased obtuse marginal branch, and an anomalous right coronary artery (RCA) arising from the left aortic sinus on coronary angiogram, and various technical challenges during the procedure. RCA was cannulated using a Judkins left guiding catheter and revascularised by deployment of a 2.75 × 18 mm Promus Premier Stent (everolimus-eluting stent, Boston Scientific, USA) at 12 atm.

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