Vol 14, No 4 (2019)
Case report
Published online: 2019-06-17
Anomalous right coronary artery from the left aortic sinus: technical issues during revascularisation
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.
Keywords: anomalous right coronary arterychronic stable anginaJudkins left guiding catheter
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