Is endovascular therapy the right choice for treatment of functional compression of anomalous right coronary artery arising from left coronary sinus with interarterial course?

We report a case of successful percutaneous coronary intervention (PCI) for reversible ischaemia owing to an anomalous right coronary artery arising from the left coronary sinus with malignant interarterial course and not associated with obstructive coronary artery disease (CAD). PCI for treatment o...

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Bibliographic Details
Published in:BMJ case reports 2013-01, Vol.2013, p.bcr2012007856
Main Authors: Vadivelu, Ramalingam, Bagga, Shiv
Format: Article
Language:English
Subjects:
Asia
Asthma
Cardiac stress tests
Cardiovascular disease
Catheters
Coronary Vessel Anomalies - diagnostic imaging
Coronary Vessel Anomalies - pathology
Coronary Vessel Anomalies - surgery
Coronary vessels
Coronary Vessels - diagnostic imaging
Coronary Vessels - pathology
Coronary Vessels - surgery
Humans
Indian Sub-Continent
Ischemia
Male
Medical imaging
Metabolism
Middle Aged
Patients
Percutaneous Coronary Intervention - methods
Pulmonary arteries
Rare Disease
Surgery
Tomography, X-Ray Computed
Vein & artery diseases
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Summary:We report a case of successful percutaneous coronary intervention (PCI) for reversible ischaemia owing to an anomalous right coronary artery arising from the left coronary sinus with malignant interarterial course and not associated with obstructive coronary artery disease (CAD). PCI for treatment of functional compression of the ostioproximal intramural segment of the anomalous vessel, though described in the literature, is technically challenging, requiring appropriate hardware selection; the peculiar anatomical milieu, in the absence of atherosclerotic CAD, lends itself to an uncertain long-term outcome following endovascular therapy with stenting.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2012-007856