Anomalous Right Coronary Artery from the left aortic sinus: technical issues during revascularization

Santosh Kumar Sinha, Kumar Himanshu, Puneet Aggarwal, Mahmodulla Razi, Vinay Krishna
2016 Folia Cardiologica  
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
more » ... oronary 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.
doi:10.5603/fc.a2019.0050 fatcat:fx4arf7qdfeaxajn2so6hqngo4