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:	Cinosh Mathew, Ashish Sharma, Nishant Saxena, Jayesh Rawal
Formato:	article
Lenguaje:	EN
Publicado:	JCDR Research and Publications Private Limited 2021
Materias:	aberrant origin coronary artery multipurpose guiding catheter Medicine R
Acceso en línea:	https://doaj.org/article/0d3df0415a4e49ffa32d8ec8cb5c6cda
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spelling	oai:doaj.org-article:0d3df0415a4e49ffa32d8ec8cb5c6cda2021-11-11T18:36:46ZPrimary Percutaneous Coronary Intervention in an Anomalous Left Circumflex Artery: Search for the Hidden Culprit10.7860/JCDR/2021/50511.153292249-782X0973-709Xhttps://doaj.org/article/0d3df0415a4e49ffa32d8ec8cb5c6cda2021-09-01T00:00:00Zhttps://www.jcdr.net/articles/PDF/15329/50511_CE[Ra1]_F(SHU)_PF1(SC_SL)_PFA(SC_KM)_PN(KM).pdfhttps://doaj.org/toc/2249-782Xhttps://doaj.org/toc/0973-709XCongenital 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.Cinosh MathewAshish Sharma Nishant SaxenaJayesh RawalJCDR Research and Publications Private Limitedarticleaberrant origincoronary arterymultipurpose guiding catheterMedicineRENJournal of Clinical and Diagnostic Research, Vol 15, Iss 9, Pp OD01-OD03 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	aberrant origin coronary artery multipurpose guiding catheter Medicine R
spellingShingle	aberrant origin coronary artery multipurpose guiding catheter Medicine R Cinosh Mathew Ashish Sharma Nishant Saxena Jayesh Rawal Primary Percutaneous Coronary Intervention in an Anomalous Left Circumflex Artery: Search for the Hidden Culprit
description	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.
format	article
author	Cinosh Mathew Ashish Sharma Nishant Saxena Jayesh Rawal
author_facet	Cinosh Mathew Ashish Sharma Nishant Saxena Jayesh Rawal
author_sort	Cinosh Mathew
title	Primary Percutaneous Coronary Intervention in an Anomalous Left Circumflex Artery: Search for the Hidden Culprit
title_short	Primary Percutaneous Coronary Intervention in an Anomalous Left Circumflex Artery: Search for the Hidden Culprit
title_full	Primary Percutaneous Coronary Intervention in an Anomalous Left Circumflex Artery: Search for the Hidden Culprit
title_fullStr	Primary Percutaneous Coronary Intervention in an Anomalous Left Circumflex Artery: Search for the Hidden Culprit
title_full_unstemmed	Primary Percutaneous Coronary Intervention in an Anomalous Left Circumflex Artery: Search for the Hidden Culprit
title_sort	primary percutaneous coronary intervention in an anomalous left circumflex artery: search for the hidden culprit
publisher	JCDR Research and Publications Private Limited
publishDate	2021
url	https://doaj.org/article/0d3df0415a4e49ffa32d8ec8cb5c6cda
work_keys_str_mv	AT cinoshmathew primarypercutaneouscoronaryinterventioninananomalousleftcircumflexarterysearchforthehiddenculprit AT ashishsharma primarypercutaneouscoronaryinterventioninananomalousleftcircumflexarterysearchforthehiddenculprit AT nishantsaxena primarypercutaneouscoronaryinterventioninananomalousleftcircumflexarterysearchforthehiddenculprit AT jayeshrawal primarypercutaneouscoronaryinterventioninananomalousleftcircumflexarterysearchforthehiddenculprit
_version_	1718431746303721472

Primary Percutaneous Coronary Intervention in an Anomalous Left Circumflex Artery: Search for the Hidden Culprit

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