An abnormal finding in an angiogram.
An 80 year old Chinese gentleman was admitted with NSTEACS characterized by anterior T wave inversion and raised Troponin T. His coronary angiogram showed stenosis of the proximal LAD. He underwent PCI to LAD lesion. The RCA was large and there was large collateral between, RCA and PA (fig 1,2), which was not intervened. He made good recovery and has been asymptomatic for over 2 years. Coronary artery anomalies are found in 1% of the population, RCA is the most commonly involved. Best approach would be to observe the patients, as most of them do not develop any symptoms.
Innasimuthu
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The Cardiothoracic Centre, and University Hospital Aintree, Lower Lane, Liverpool, Mersey, UK. antonyleslie@yahoo.co.in
Perry
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D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000628:therapy