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Percutaneous Coronary Intervention for the Anomalous Left Coronary Artery Originating from the Noncoronary Cusp

Percutaneous coronary intervention (PCI) for anomalous left coronary artery (LCA) originating from the noncoronary cusp (NCC) is challenging, as it poses difficulties with the engagement of the guiding catheter and the establishment of backup support. This report examines the case of a 69-year-old w...

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Autores principales: Kuno, Toshiki, Numasawa, Yohei, Takahsashi, Toshiyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5143685/
https://www.ncbi.nlm.nih.gov/pubmed/27999688
http://dx.doi.org/10.1155/2016/2097174
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author Kuno, Toshiki
Numasawa, Yohei
Takahsashi, Toshiyuki
author_facet Kuno, Toshiki
Numasawa, Yohei
Takahsashi, Toshiyuki
author_sort Kuno, Toshiki
collection PubMed
description Percutaneous coronary intervention (PCI) for anomalous left coronary artery (LCA) originating from the noncoronary cusp (NCC) is challenging, as it poses difficulties with the engagement of the guiding catheter and the establishment of backup support. This report examines the case of a 69-year-old woman with unstable angina of anomalous LCA origin. The computed tomography showed a diffuse plaque in the middle of the left anterior descending (LAD) artery and an anomalous LCA originating from the NCC. After successful engagement of a straightened Judkins-Left diagnostic catheter, the angiography revealed a diffuse plaque in the middle of the LAD artery. We then engaged a Judkins-Right guiding catheter. Due to the weak backup support of the guiding catheter, we used another wire to stabilize it, and the stent was then implanted successfully. To our knowledge, this is the first case report of PCI for an anomalous LCA originating from the NCC.
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spelling pubmed-51436852016-12-20 Percutaneous Coronary Intervention for the Anomalous Left Coronary Artery Originating from the Noncoronary Cusp Kuno, Toshiki Numasawa, Yohei Takahsashi, Toshiyuki Case Rep Cardiol Case Report Percutaneous coronary intervention (PCI) for anomalous left coronary artery (LCA) originating from the noncoronary cusp (NCC) is challenging, as it poses difficulties with the engagement of the guiding catheter and the establishment of backup support. This report examines the case of a 69-year-old woman with unstable angina of anomalous LCA origin. The computed tomography showed a diffuse plaque in the middle of the left anterior descending (LAD) artery and an anomalous LCA originating from the NCC. After successful engagement of a straightened Judkins-Left diagnostic catheter, the angiography revealed a diffuse plaque in the middle of the LAD artery. We then engaged a Judkins-Right guiding catheter. Due to the weak backup support of the guiding catheter, we used another wire to stabilize it, and the stent was then implanted successfully. To our knowledge, this is the first case report of PCI for an anomalous LCA originating from the NCC. Hindawi Publishing Corporation 2016 2016-11-24 /pmc/articles/PMC5143685/ /pubmed/27999688 http://dx.doi.org/10.1155/2016/2097174 Text en Copyright © 2016 Toshiki Kuno et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kuno, Toshiki
Numasawa, Yohei
Takahsashi, Toshiyuki
Percutaneous Coronary Intervention for the Anomalous Left Coronary Artery Originating from the Noncoronary Cusp
title Percutaneous Coronary Intervention for the Anomalous Left Coronary Artery Originating from the Noncoronary Cusp
title_full Percutaneous Coronary Intervention for the Anomalous Left Coronary Artery Originating from the Noncoronary Cusp
title_fullStr Percutaneous Coronary Intervention for the Anomalous Left Coronary Artery Originating from the Noncoronary Cusp
title_full_unstemmed Percutaneous Coronary Intervention for the Anomalous Left Coronary Artery Originating from the Noncoronary Cusp
title_short Percutaneous Coronary Intervention for the Anomalous Left Coronary Artery Originating from the Noncoronary Cusp
title_sort percutaneous coronary intervention for the anomalous left coronary artery originating from the noncoronary cusp
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5143685/
https://www.ncbi.nlm.nih.gov/pubmed/27999688
http://dx.doi.org/10.1155/2016/2097174
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