A case of acute thrombotic occlusion of an anomalous origin of the right coronary artery from the left coronary sinus: focus on the importance of dual-source computed tomography for failed emergency coronary angiography.
Coronary artery anomalies in patients undergoing coronary angiography are often technically challenging for invasive cardiologists and may delay revascularization time. We report a patient who underwent successful bailout revascularization using dual-source computed tomography after failed emergency angiography. This case emphasizes the utility of dual-source computed tomography, especially in an urgent clinical setting, for allowing interventional cardiologists to rapidly identify and effectively treat the aberrant coronary artery.
Division of Cardiology, Department of Internal Medicine, Eulji University School of Medicine, DaeJeon, Korea.
Hyeong Kug
HK
Kim
Yu Jeong
YJ
Choi
Ki-Woon
KW
Kang
Jin A
JA
Lee
Se Young
SY
Park
Seok-Jae
SJ
Zeon
Sang Hyun
SH
Park
Won Ho
WH
Kim
Sahng
S
Lee
Kyung Tae
KT
Jung
Soon Chang
SC
Park
D000208:Acute Disease; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging*; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D003951:Diagnostic Errors / Q000517:prevention & control*; D004632:Emergency Medical Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed / Q000379:methods*