open access

Vol 14, No 4 (2019)
Case Reports
Published online: 2019-06-17
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Anomalous right coronary artery from the left aortic sinus: technical issues during revascularisation

Santosh Kumar Sinha, Kumar Himanshu, Puneet Aggarwal, Mahmodulla Razi, Vinay Krishna
DOI: 10.5603/FC.a2019.0050
·
Folia Cardiologica 2019;14(4):392-396.

open access

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

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.

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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Keywords

anomalous right coronary artery, chronic stable angina, Judkins left guiding catheter

About this article
Title

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

Journal

Folia Cardiologica

Issue

Vol 14, No 4 (2019)

Pages

392-396

Published online

2019-06-17

DOI

10.5603/FC.a2019.0050

Bibliographic record

Folia Cardiologica 2019;14(4):392-396.

Keywords

anomalous right coronary artery
chronic stable angina
Judkins left guiding catheter

Authors

Santosh Kumar Sinha
Kumar Himanshu
Puneet Aggarwal
Mahmodulla Razi
Vinay Krishna

References (10)
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