Anomalous origin of the right coronary artery from the left coronary sinus with medusa head left coronaries: Plethora of left coronary circulation with paucity of right one

We report a rare case of anomalous origin of right coronary artery (RCA) from the left coronary sinus with a peculiar medusa head pattern of left coronary system in an octogenarian presenting with inferior wall myocardial infarction. Although anomalous origin of RCA from the left coronary sinus is t...

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Autores principales: Debasish Das, Debasis Acharya, Dibya Sundar Mahanta, Shashikant Singh, Tutan Das, Subhas Pramanik
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Lenguaje:EN
Publicado: Wolters Kluwer Medknow Publications 2021
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Acceso en línea:https://doaj.org/article/221857b7245a4c51ba0a86c7dc996a1d
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spelling oai:doaj.org-article:221857b7245a4c51ba0a86c7dc996a1d2021-11-12T11:12:16ZAnomalous origin of the right coronary artery from the left coronary sinus with medusa head left coronaries: Plethora of left coronary circulation with paucity of right one2251-95722251-958010.4103/rcm.rcm_42_21https://doaj.org/article/221857b7245a4c51ba0a86c7dc996a1d2021-01-01T00:00:00Zhttp://www.rcvmonline.com/article.asp?issn=2251-9572;year=2021;volume=10;issue=3;spage=91;epage=95;aulast=Dashttps://doaj.org/toc/2251-9572https://doaj.org/toc/2251-9580We report a rare case of anomalous origin of right coronary artery (RCA) from the left coronary sinus with a peculiar medusa head pattern of left coronary system in an octogenarian presenting with inferior wall myocardial infarction. Although anomalous origin of RCA from the left coronary sinus is the most common anomaly to be reported, this rare association of extensive arborization of left coronary system appearing like a medusa head is not reported in literature so far. The anomalous RCA harbored critical mid-RCA lesion, but the crux of coronary intervention was that we engaged the anomalous RCA with extra back up guide catheter in place of conventionally used Judkins right guide catheter to engage the anomalous origin and accomplished the coronary intervention with buddy wire technique. Our case is unique and the first to describe the association of medusa head appearance of left coronary circulation in a case of anomalous origin of RCA from the left coronary sinus.Debasish DasDebasis AcharyaDibya Sundar MahantaShashikant SinghTutan DasSubhas PramanikWolters Kluwer Medknow Publicationsarticleanomalousright coronary arteryleft coronary sinusmedusa headcoronariesDiseases of the circulatory (Cardiovascular) systemRC666-701ENResearch in Cardiovascular Medicine, Vol 10, Iss 3, Pp 91-95 (2021)
institution DOAJ
collection DOAJ
language EN
topic anomalous
right coronary artery
left coronary sinus
medusa head
coronaries
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle anomalous
right coronary artery
left coronary sinus
medusa head
coronaries
Diseases of the circulatory (Cardiovascular) system
RC666-701
Debasish Das
Debasis Acharya
Dibya Sundar Mahanta
Shashikant Singh
Tutan Das
Subhas Pramanik
Anomalous origin of the right coronary artery from the left coronary sinus with medusa head left coronaries: Plethora of left coronary circulation with paucity of right one
description We report a rare case of anomalous origin of right coronary artery (RCA) from the left coronary sinus with a peculiar medusa head pattern of left coronary system in an octogenarian presenting with inferior wall myocardial infarction. Although anomalous origin of RCA from the left coronary sinus is the most common anomaly to be reported, this rare association of extensive arborization of left coronary system appearing like a medusa head is not reported in literature so far. The anomalous RCA harbored critical mid-RCA lesion, but the crux of coronary intervention was that we engaged the anomalous RCA with extra back up guide catheter in place of conventionally used Judkins right guide catheter to engage the anomalous origin and accomplished the coronary intervention with buddy wire technique. Our case is unique and the first to describe the association of medusa head appearance of left coronary circulation in a case of anomalous origin of RCA from the left coronary sinus.
format article
author Debasish Das
Debasis Acharya
Dibya Sundar Mahanta
Shashikant Singh
Tutan Das
Subhas Pramanik
author_facet Debasish Das
Debasis Acharya
Dibya Sundar Mahanta
Shashikant Singh
Tutan Das
Subhas Pramanik
author_sort Debasish Das
title Anomalous origin of the right coronary artery from the left coronary sinus with medusa head left coronaries: Plethora of left coronary circulation with paucity of right one
title_short Anomalous origin of the right coronary artery from the left coronary sinus with medusa head left coronaries: Plethora of left coronary circulation with paucity of right one
title_full Anomalous origin of the right coronary artery from the left coronary sinus with medusa head left coronaries: Plethora of left coronary circulation with paucity of right one
title_fullStr Anomalous origin of the right coronary artery from the left coronary sinus with medusa head left coronaries: Plethora of left coronary circulation with paucity of right one
title_full_unstemmed Anomalous origin of the right coronary artery from the left coronary sinus with medusa head left coronaries: Plethora of left coronary circulation with paucity of right one
title_sort anomalous origin of the right coronary artery from the left coronary sinus with medusa head left coronaries: plethora of left coronary circulation with paucity of right one
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/221857b7245a4c51ba0a86c7dc996a1d
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