Cargando…

Primary percutaneous coronary intervention with diagnostic catheter in an anomalous origin right coronary artery—a case report

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 pre...

Descripción completa

Detalles Bibliográficos
Autores principales: Dar, Mohd Iqbal, Rashid, Aamir, Wani, Mohd Iqbal, Rather, Hilal A., Khan, Khursheed A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7406584/
https://www.ncbi.nlm.nih.gov/pubmed/32757079
http://dx.doi.org/10.1186/s43044-020-00083-z
_version_ 1783567455343345664
author Dar, Mohd Iqbal
Rashid, Aamir
Wani, Mohd Iqbal
Rather, Hilal A.
Khan, Khursheed A.
author_facet Dar, Mohd Iqbal
Rashid, Aamir
Wani, Mohd Iqbal
Rather, Hilal A.
Khan, Khursheed A.
author_sort Dar, Mohd Iqbal
collection PubMed
description 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.
format Online
Article
Text
id pubmed-7406584
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-74065842020-08-17 Primary percutaneous coronary intervention with diagnostic catheter in an anomalous origin right coronary artery—a case report Dar, Mohd Iqbal Rashid, Aamir Wani, Mohd Iqbal Rather, Hilal A. Khan, Khursheed A. Egypt Heart J Case Report 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. Springer Berlin Heidelberg 2020-08-05 /pmc/articles/PMC7406584/ /pubmed/32757079 http://dx.doi.org/10.1186/s43044-020-00083-z Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report
Dar, Mohd Iqbal
Rashid, Aamir
Wani, Mohd Iqbal
Rather, Hilal A.
Khan, Khursheed A.
Primary percutaneous coronary intervention with diagnostic catheter in an anomalous origin right coronary artery—a case report
title Primary percutaneous coronary intervention with diagnostic catheter in an anomalous origin right coronary artery—a case report
title_full Primary percutaneous coronary intervention with diagnostic catheter in an anomalous origin right coronary artery—a case report
title_fullStr Primary percutaneous coronary intervention with diagnostic catheter in an anomalous origin right coronary artery—a case report
title_full_unstemmed Primary percutaneous coronary intervention with diagnostic catheter in an anomalous origin right coronary artery—a case report
title_short Primary percutaneous coronary intervention with diagnostic catheter in an anomalous origin right coronary artery—a case report
title_sort primary percutaneous coronary intervention with diagnostic catheter in an anomalous origin right coronary artery—a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7406584/
https://www.ncbi.nlm.nih.gov/pubmed/32757079
http://dx.doi.org/10.1186/s43044-020-00083-z
work_keys_str_mv AT darmohdiqbal primarypercutaneouscoronaryinterventionwithdiagnosticcatheterinananomalousoriginrightcoronaryarteryacasereport
AT rashidaamir primarypercutaneouscoronaryinterventionwithdiagnosticcatheterinananomalousoriginrightcoronaryarteryacasereport
AT wanimohdiqbal primarypercutaneouscoronaryinterventionwithdiagnosticcatheterinananomalousoriginrightcoronaryarteryacasereport
AT ratherhilala primarypercutaneouscoronaryinterventionwithdiagnosticcatheterinananomalousoriginrightcoronaryarteryacasereport
AT khankhursheeda primarypercutaneouscoronaryinterventionwithdiagnosticcatheterinananomalousoriginrightcoronaryarteryacasereport