title: A challenging case due to uncommon aberrancies.
abstract: A 71-year-old man was referred to a rapid access chest pain clinic by his general practitioner. He presented with a 6-month history of twice weekly central chest pain lasting 2-3 min with walking and exertion, relieved with rest or co-codamol tablets. After initial investigations and a positive myoview scan, he was listed for an elective coronary angiogram. Unfortunately, the procedure was abandoned due to unclear course of the guide wire and a possible aberrant aortic course. Further non-invasive tests were arranged to clarify the anatomy of the vessels. After getting a clear idea of the aberrancies, coronary angiogram was replanned, and the patient underwent successful angiography with angioplasty to one of the coronary arteries, without any complications.
authors.affiliation: Department of Cardiology, Castle Hill Hospital, North Yorkshire, East Yorkshire, UK.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Waleed
authors.affiliation: Scunthorpe General Hospital, North East Lincolnshire, Scunthorpe, UK.
authors.forename: Ali
authors.initials: A
authors.lastname: Raza
authors.affiliation: Scarborough General Hospital, Scarborough, UK.
authors.forename: Tariq
authors.initials: T
authors.lastname: Minhaj
authors.affiliation: Department of Cardiology, Scarborough General Hospital, Scarborough, UK.
authors.forename: Timothy
authors.initials: T
authors.lastname: Houghton
mesh_terms: D000082:Acetaminophen; D000368:Aged; D017130:Angioplasty / Q000379:methods*; D002637:Chest Pain / Q000209:etiology*; D003061:Codeine; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000473:pathology*; D004338:Drug Combinations; D006327:Heart Block / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D016896:Treatment Outcome
chemical_list: D004338:Drug Combinations; C526278:acetaminophen, codeine drug combination; D000082:Acetaminophen; D003061:Codeine