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. 2013 Sep;4(3):204-8.
doi: 10.1016/j.jcdr.2013.08.004. Epub 2013 Oct 15.

Percutaneous coronary intervention in patients with anomalous origin of coronary artery presenting with acute coronary syndrome: A case series

Satish Karur  1 , Soumya Patra  1 , Ravindranath K Shankarappa  1 , Navin Agrawal  1 , Ravi S Math  1 , Manjunath C Nanjappa  1
Affiliations

Percutaneous coronary intervention in patients with anomalous origin of coronary artery presenting with acute coronary syndrome: A case series

Satish Karur et al. J Cardiovasc Dis Res. 2013 Sep.

Abstract

Coronary artery anomalies are found in 0.6%-1.5% of patients undergoing diagnostic coronary angiogram. Intervention in these patients poses a particular technical challenge secondary to the aberrancies in the vessel origin and course. From March 2011 to February 2013, 13 cases with complex coronary artery anomalies were observed among 2482 patients undergoing CAG (0.52%) at our cath lab. Only three patients had severe stenosis in the anomalous artery sufficient to require an intervention and had presented with myocardial infarction. PCI was performed successfully in these 3 patients two of which had anomalous left circumflex artery and the other having an anomalous right coronary artery.

Keywords: Acute coronary syndrome; Anomalous coronary artery; Coronary angiogram; Percutaneous coronary intervention.

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Figures

Fig. 1
Fig. 1
CAG showed that both the RCA and LCX arising from right aortic sinus from separate ostium from the same coronary sinus and the anomalous LCX has significant proximal stenosis.
Fig. 2
Fig. 2
CAG showed TIMI grade III flow after angioplasty in anomalous LCX.
Fig. 3
Fig. 3
CAG showed RCA anomalously arising from left aortic sinus and distal RCA has significant stenosis.
Fig. 4
Fig. 4
Post angioplasty coronary angiogram showed TIMI III flow.
Fig. 5
Fig. 5
CAG showing anomalous LCX arising from right aortic sinus and having a significant lesion.
Fig. 6
Fig. 6
Post PCI coronary angiogram showed TIMI grade III flow.
See this image and copyright information in PMC

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