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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Primary percutaneous coronary intervention with diagnostic catheter in an anomalous origin right coronary artery-a

Mohd Iqbal Dar1, Aamir Rashid2, Mohd Iqbal Wani2

  • 1Department of Cardiology, SKIMS, Soura, Jammu and Kashmir, 190011, India. darmohdiqbal08@gmail.com.

The Egyptian Heart Journal : (EHJ) : Official Bulletin of the Egyptian Society of Cardiology
|August 7, 2020
PubMed

Insights

Percutaneous coronary intervention (PCI) for acute coronary syndrome is feasible even with anomalous coronary arteries. A diagnostic catheter successfully treated a patient with anomalous right coronary artery origin.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Anatomical Variations

Background:

  • Anomalous coronary arteries are rare but can complicate cardiac procedures.
  • Operator awareness of anatomical variations and specific techniques is crucial for successful outcomes.

Purpose of the Study:

  • To describe a case of percutaneous coronary intervention (PCI) in a patient with anomalous right coronary artery (RCA) origin presenting with acute coronary syndrome.
  • To highlight the successful use of a diagnostic catheter in managing this complex anatomical variation.

Main Methods:

  • A 50-year-old female with inferior wall myocardial infarction underwent coronary angiography.
  • Anomalous origin of the RCA above the sinotubular junction was identified after initial attempts to cannulate the vessel failed.
  • PCI was successfully performed using an AL-2 diagnostic catheter to cannulate the anomalous RCA.

Main Results:

  • Non-obstructive disease was found in the left anterior descending (LAD) and left circumflex artery (LCX).
  • The anomalous right coronary artery (RCA) was successfully engaged and treated with PCI.
  • The procedure was completed using only a diagnostic catheter for cannulation.

Conclusions:

  • Percutaneous coronary intervention (PCI) is a viable treatment option for acute coronary syndrome in patients with anomalous coronary artery origins.
  • A diagnostic catheter can be effectively utilized to cannulate and treat anomalous coronary arteries, even in challenging clinical scenarios.
Abstract

Keywords:
Anomalous coronary arteryCase reportPrimary percutaneous coronary interventionRight coronary arterySinotubular junction

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