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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

Percutaneous coronary intervention in single coronary artery in a patient with high-risk unstable angina

Hugo Alexandre Ross Yokoyama1, Caio Mário de Almeida Pessoa, Fábio Cardoso de Carvalho

  • 1Hospital Estadual de Bauru, Faculdade de Medicina de Botucatu, UNESP, Bauru, SP, Brazil. haross@cardiol.br

Arquivos Brasileiros De Cardiologia
|May 30, 2007
PubMed

Insights

This case report details successful coronary angioplasty with stent implantation for high-risk unstable angina in a patient with a rare single coronary artery anomaly. Anatomical assessment is crucial for preventing complications during percutaneous coronary intervention.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Anatomical Variations

Background:

  • Unstable angina requires prompt intervention.
  • Coronary artery anomalies present unique challenges in percutaneous coronary intervention (PCI).
  • Single coronary artery anomalies are rare, necessitating careful pre-procedural planning.

Observation:

  • A patient presented with high-risk unstable angina.
  • The patient had a rare single coronary artery originating from the right coronary sinus.
  • The left anterior descending and circumflex arteries arose separately from the proximal right coronary artery.

Findings:

  • Successful coronary angioplasty with stent implantation was performed in the right coronary artery.
  • The procedure was technically feasible despite the complex coronary anatomy.
  • No immediate complications were reported during the intervention.

Implications:

  • This case highlights the importance of detailed coronary artery anatomical assessment before PCI.
  • Accurate anatomical understanding is vital for safe and effective treatment of coronary artery disease in anomalous vessels.
  • Further case reports may improve understanding and management strategies for rare coronary anomalies.

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