title: Angioplasty on an infarct-related anomalous right coronary artery arising from posterior coronary sinus.
abstract: BACKGROUND
  The objective of this case report was to illustrate the diagnostic and intervention approach of anomalous right coronary artery (RCA).
  
  
  METHODS
  A 60-year-old man presented with acute inferior myocardial infarction. Cardiac catheterisation revealed an anomalous RCA arising from the posterior coronary sinus as the infarct-related artery.
  
  
  METHODS
  Ad hoc percutaneous coronary intervention with stent implantation was performed using a few technical modifications.
  
  
  RESULTS
  Good angiographic result was achieved within 90 minutes, with 260 mL of contrast used.
  
  
  CONCLUSIONS
  A high index of suspicion and logical diagnostic and intervention approach are required for the proper management of anomalous RCA.
authors.affiliation: Cardiac Medical Unit, Grantham Hospital, Hong Kong. jimmanh2002@yahoo.com
authors.forename: Man-Hong
authors.initials: MH
authors.lastname: Jim
authors.forename: Ryan L Y
authors.initials: RL
authors.lastname: Ko
authors.forename: Carmen W S
authors.initials: CW
authors.lastname: Chan
authors.forename: Stephen C W
authors.initials: SC
authors.lastname: Cheung
authors.forename: Wing-Hing
authors.initials: WH
authors.lastname: Chow
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization / Q000379:methods*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000601:surgery*