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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
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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 |
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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 |
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