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.

Details

Title
Primary percutaneous coronary intervention with diagnostic catheter in an anomalous origin right coronary artery—a case report
Author
Dar, Mohd Iqbal 1   VIAFID ORCID Logo  ; Rashid, Aamir 1 ; Wani, Mohd Iqbal 1 ; Rather, Hilal A. 1 ; Khan, Khursheed A. 1 

1  SKIMS, Department of Cardiology, Soura, India (GRID:grid.414739.c) (ISNI:0000 0001 0174 2901) 
Publication year
2020
Publication date
Dec 2020
Publisher
Springer Nature B.V.
ISSN
11102608
e-ISSN
2090911X
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1186/s43044-020-00083-z
ProQuest document ID
2729541708
Copyright
© The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.