Percutaneous coronary intervention to anomalous right coronary artery and retained piece of guidewire in the coronary vasculature.
The incidence of anomalous origin of the coronary arteries varies between 0.2% and 1.2%; the anomalous right coronary artery accounting for 6--27% of all the cases. To date technical experience on angioplasty in patients with anomalous coronary arteries reported in the literature is limited. A major factor is the selection of the guiding catheter to access the anomalous origin and also to give good support during angioplasty. We report the details of angioplasty in a patient with a similar problem and the dilemma following a fractured segment of the guidewire retained in the coronary vasculature.
Khambekar
Sujata
S
Specialist Registrar Cardiology, Glenfield Hospital, United Hospitals of Leicester, Leicester, United Kingdom. skk17@hotmail.com
Hudson
Ian
I
Kovac
Jan
J
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000628:therapy*; D020878:Device Removal / Q000379:methods; D004868:Equipment Failure; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation