title: Primary angioplasty for acute myocardial infarction in a patient with a solitary coronary ostium and a "superdominant" right coronary artery.
abstract: Coronary artery anomalies (CAAs) are a rare angiographic finding, sometimes associated with acute coronary events. We report on a case of primary angioplasty for inferior acute myocardial infarction (AMI) in a 66-year-old woman with a solitary coronary ostium in the right sinus of Valsalva and a "superdominant" right coronary artery. We also discuss two potential pitfalls of primary angioplasty: correct interpretation of coronary anatomy and approach to challenging lesions.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Amoroso
authors.forename: Efisia
authors.initials: E
authors.lastname: Monni
authors.forename: Ugo
authors.initials: U
authors.lastname: Limbruno
authors.forename: Maurizio
authors.initials: M
authors.lastname: Raugi
authors.forename: Marco
authors.initials: M
authors.lastname: De Carlo
authors.forename: Nicola
authors.initials: N
authors.lastname: Ciabatti
authors.forename: Silvia
authors.initials: S
authors.lastname: Guideri
authors.forename: AnnaSonia
authors.initials: A
authors.lastname: Petronio
authors.forename: Mario
authors.initials: M
authors.lastname: Mariani
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications / Q000628:therapy*