Primary Percutaneous Coronary Intervention in an Anomalous Left Circumflex Artery: Search for the Hidden Culprit
Congenital coronary anomalies are rarely detected in patients undergoing diagnostic coronary angiography. They pose a challenge in delay to identify the anomalous artery as well as difficulty in engaging the anomalous vessel. The present case report was of 56-years-old male patient presented with...
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| Autores principales: | , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
JCDR Research and Publications Private Limited
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/0d3df0415a4e49ffa32d8ec8cb5c6cda |
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| Sumario: | Congenital coronary anomalies are rarely detected in patients undergoing diagnostic coronary angiography. They pose a challenge
in delay to identify the anomalous artery as well as difficulty in engaging the anomalous vessel. The present case report was of
56-years-old male patient presented with acute onset of chest pain. On evaluation, his electrocardiogram was suggestive of ST
segment elevation in inferior leads. He underwent diagnostic coronary angiogram which revealed totally occluded Left Circumflex
Artery (LCx) arising anomalously from right coronary osteum. Primary Percutaneous Coronary Intervention (PCI) of LCx could not
be performed with routine guide catheters necessitating the use of special multipurpose guide catheter with balloon support. The
case highlights the need for the knowledge of coronary anatomy and anomalous origins of coronary arteries and the selection of
appropriate guiding catheters and coronary wires. |
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