Percutaneous Coronary Intervention in Single Coronary Artery from Right Sinus: Radial Route is Right

Area of Science:

• Cardiology
• Interventional Cardiology
• Vascular Medicine

Background:

• Single coronary artery anomalies are rare congenital conditions.
• Atherosclerotic stenosis in anomalous coronary arteries presents unique treatment challenges.
• Percutaneous coronary intervention (PCI) in such cases is infrequently reported due to high procedural risks.

Observation:

• A patient presented with acute coronary syndrome (ST-elevation myocardial infarction) due to a single coronary artery anomaly originating from the right sinus.
• The patient had residual angina post-thrombolysis, necessitating further intervention.
• The anomalous vessel's ostial configuration and course posed significant technical challenges for PCI.

Findings:

• Successful PCI of the right coronary artery was achieved using a radial artery approach.
• The procedure navigated the complexities of the single coronary artery's anatomy.
• This case demonstrates the feasibility of radial PCI in a rare coronary anomaly.

Implications:

• Radial PCI can be a viable option for treating atherosclerotic lesions in single coronary artery anomalies.
• Careful planning and execution are crucial for managing the procedural risks associated with these rare anatomies.
• This case contributes to the limited literature on interventional treatment of single coronary artery anomalies.