Angioplasty on an infarct-related anomalous right coronary artery arising from posterior coronary sinus.
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.
Jim
Man-Hong
MH
Cardiac Medical Unit, Grantham Hospital, Hong Kong. jimmanh2002@yahoo.com
Ko
Ryan L Y
RL
Chan
Carmen W S
CW
Cheung
Stephen C W
SC
Chow
Wing-Hing
WH
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*