Primary coronary angioplasty in a patient with anomalous origin of the right coronary artery from the left sinus of Valsalva.
We report a rare case of primary coronary angioplasty in a patient with acute myocardial infarction due to thrombotic occlusion of an anomalous right coronary artery arising from the left sinus of Valsalva. The non-invasive method of ischaemia localisation, such as ST-segment elevation on the electrocardiogram, was useful in identifying the infarct-related artery. A major factor was the selection of the guiding catheter to access the anomalous right coronary artery and also to obtain good angiographic visualisation and adequate support for percutaneous coronary intervention.
Azzarelli
Salvatore
S
Cardiovascular Catheterisation Unit, Cardiovascular Department, Cannizzaro Hospital, Catania, Italy. azzarelli.s@tiscali.it
Amico
Francesco
F
Giacoppo
Michele
M
Argentino
Vincenzo
V
Di Mario
Carlo
C
Fiscella
Antonio
A
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003328:Coronary Thrombosis; D003330:Coronary Vessel Anomalies / Q000150:complications*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology* / Q000628:therapy*; D012850:Sinus of Valsalva / Q000002:abnormalities*; D015607:Stents