title: Coronary intervention in anomalous origin of the right coronary artery (ARCA) from the left sinus of valsalva (LSOV): a single center experience.
abstract: OBJECTIVE
  To assess the technical challenges in percutaneous coronary intervention of Anomalous right coronary artery arising from the left sinus of valsalva.
  
  
  METHODS
  Between year 2008 and 2012, a total of 17 patients underwent PCI for an angiographically significant lesion in the right coronary artery of an anomalous origin in the LSOV. Their procedure details such as usage of catheters, radiation time, amount of contrast used were assessed.
  
  
  RESULTS
  A total of 17 patients with anomalous right coronary artery underwent PCI during the above mentioned period. 8 patients had type A origin, 3 had type B origin and the remaining 6 had type C origin. Type A origin RCA were successfully cannulated in 6 patients with Judkins left 5.0 and in 2 patients using Judkins left 4.0. Extra back up (EBU) 3.5 were doing well in 2 patients of Type B origin and the remaining one patient was successfully cannulated using Judkins left 4.0. In type C origin 4 patients had successful cannulation with Amplatz Left 1.0, 1 patient with Amplatz Left 2.0 and 1 patient with Judkins left 4.0. The mean fluoroscopic time was 20.7 min and amount of contrast used was 210 ml.
  
  
  CONCLUSIONS
  PCI of anomalous RCA origin from LSOV requires appropriate guide catheter selection according to the anatomy of origin for successful cannulation and to reduce the contrast usage and radiation exposure.
authors.affiliation: Consultant, Department of Cardiology, Institute of Cardio-Vascular Diseases, Madras Medical Mission, Chennai, India. Electronic address: icvddoctors@mmm.org.in.
authors.forename: Kalaichelvan
authors.initials: K
authors.lastname: Uthayakumaran
authors.affiliation: Consultant, Department of Cardiology, Institute of Cardio-Vascular Diseases, Madras Medical Mission, Chennai, India.
authors.forename: Vijayakumar
authors.initials: V
authors.lastname: Subban
authors.affiliation: Physician Assistant, Department of Cardiology, Institute of Cardio-Vascular Diseases, Madras Medical Mission, Chennai, India.
authors.forename: Anitha
authors.initials: A
authors.lastname: Lakshmanan
authors.affiliation: Consultant, Department of Cardiology, Institute of Cardio-Vascular Diseases, Madras Medical Mission, Chennai, India.
authors.forename: Balaji
authors.initials: B
authors.lastname: Pakshirajan
authors.affiliation: Senior Consultant, Department of Cardiology, Institute of Cardio-Vascular Diseases, Madras Medical Mission, Chennai, India.
authors.forename: Ramkumar
authors.initials: R
authors.lastname: Solirajaram
authors.affiliation: Senior Consultant, Department of Cardiology, Institute of Cardio-Vascular Diseases, Madras Medical Mission, Chennai, India.
authors.forename: Jaishankar
authors.initials: J
authors.lastname: Krishnamoorthy
authors.affiliation: Senior Consultant, Department of Cardiology, Institute of Cardio-Vascular Diseases, Madras Medical Mission, Chennai, India.
authors.forename: Ezhilan
authors.initials: E
authors.lastname: Janakiraman
authors.affiliation: Senior Consultant, Department of Cardiology, Institute of Cardio-Vascular Diseases, Madras Medical Mission, Chennai, India.
authors.forename: Ulhas M
authors.initials: UM
authors.lastname: Pandurangi
authors.affiliation: Senior Consultant, Department of Cardiology, Institute of Cardio-Vascular Diseases, Madras Medical Mission, Chennai, India.
authors.forename: Latchumanadhas
authors.initials: L
authors.lastname: Kalidoss
authors.affiliation: Director, Department of Cardiology, Institute of Cardio-Vascular Diseases, Madras Medical Mission, Chennai, India.
authors.forename: Mullasari Ajit
authors.initials: MA
authors.lastname: Sankaradas
mesh_terms: D006328:Cardiac Catheterization; D003287:Contrast Media; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention; D011446:Prospective Studies; D012850:Sinus of Valsalva / Q000002:abnormalities*; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media
keywords: Anomalous right coronary artery; Guide catheter; Left sinus of valsalva