Angioplasty on an infarct-related anomalous right coronary artery arising from posterior coronary sinus.

نویسندگان

  • Man-Hong Jim
  • Ryan L Y Ko
  • Carmen W S Chan
  • Stephen C W Cheung
  • Wing-Hing Chow
چکیده

INTRODUCTION The objective of this case report was to illustrate the diagnostic and intervention approach of anomalous right coronary artery (RCA). CLINICAL PICTURE A 60-year-old man presented with acute inferior myocardial infarction. Cardiac catheterisation revealed an anomalous RCA arising from the posterior coronary sinus as the infarct-related artery. TREATMENT Ad hoc percutaneous coronary intervention with stent implantation was performed using a few technical modifications. OUTCOME Good angiographic result was achieved within 90 minutes, with 260 mL of contrast used. CONCLUSION A high index of suspicion and logical diagnostic and intervention approach are required for the proper management of anomalous RCA.

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عنوان ژورنال:
  • Annals of the Academy of Medicine, Singapore

دوره 39 3  شماره 

صفحات  -

تاریخ انتشار 2010