title: Successful coronary stenting in anomalous right coronary artery by using an inner catheter with mother and child technique under multislice CT guidance.
abstract: The ectopic location and unusual coronary course of the anomalous right coronary artery (RCA) from the left sinus of Valsalva makes percutaneous coronary intervention difficult. In this report, we describe a case of successful stent implantation in an anomalous RCA performed using a 4.5F inner catheter with a 6F guiding catheter used in the mother and child system under the guidance of multislice computed tomography. This approach was found to be safe and feasible in cases involving anomalous coronary origin because of the excellent engagement and support provided by the guiding catheter.
authors.affiliation: Department of Cardiology, Yokohama Rosai Hospital, 3211 Kozukue-cho, Kohoku-ku, Yokohama, Japan. kyumoto@db3.so-net.ne.jp
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Yumoto
authors.forename: Hajime
authors.initials: H
authors.lastname: Aoki
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Shirai
authors.forename: Yasutoshi
authors.initials: Y
authors.lastname: Shinoda
authors.forename: Kenichi
authors.initials: K
authors.lastname: Kato
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization / Q000379:methods*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D061330:Multidetector Computed Tomography / Q000379:methods*; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D015607:Stents; D016896:Treatment Outcome