IJCM  Vol.5 No.10 , May 2014
Percutaneous Coronary Intervention in Chronic Total Occlusion of Anomalous Right Coronary Artery
ABSTRACT

Chronic total occlusion of an anomalous right coronary artery arising from left coronary sinus is uncommon. We are describing a case of a 71 years old patient presented with severe chest pain along with exertional dyspnea with an inferior wall myocardial infarction. Coronary angiography showed anomalous right coronary artery originating from left coronary sinus having chronic total occlusion in proximal portion and normal left anterior descending artery and left circumflex artery. We were successful in implanting the two stents at an occlusive region with good angiographic results.


Cite this paper
Porwal, S. , Vishwanath, H. , Tasgaonkar, R. , Sitapara, T. and Thakkar, A. (2014) Percutaneous Coronary Intervention in Chronic Total Occlusion of Anomalous Right Coronary Artery. International Journal of Clinical Medicine, 5, 567-571. doi: 10.4236/ijcm.2014.510078.
References
[1]   Turkmen, S., Cagliyan, C.E., Poyraz, F., Sercelik, A., Boduroglu, Y., Akilli, R.E., Balli, M. and Tekin, K. (2013) Coronary Arterial Anomalies in a Large Group of Patients Undergoing Coronary Angiography in Southeast Turkey. Folia Morphologica, 72, 123-127.
http://dx.doi.org/10.5603/FM.2013.0020

[2]   Taylor, A.J., Rogan, K.M. and Virmani, R. (1992) Sudden Cardiac Death Associated with Isolated Congenital Coronary Artery Anomalies. Journal of the American College of Cardiology, 20, 640-647.
http://dx.doi.org/10.1016/0735-1097(92)90019-J

[3]   Krasuski, R.A., Magyar, D., Hart, S., Kalahasti, V., Lorber, R., Hobbs, R., Pettersson, G. and Blackstone, E. (2011) Long-Term Outcome and Impact of Surgery on Adults with Coronary Arteries Originating from the Opposite Coronary Cusp. Circulation, 123, 154-162.
http://dx.doi.org/10.1161/CIRCULATIONAHA.109.921106

[4]   Kron, I.L. (2012) The Best Approach to Repair Anomalous Origin of the Right Coronary Artery. European Journal of Cardio-Thoracic Surgery: Official Journal of the European Association for Cardio-Thoracic Surgery, 41, 290.
http://dx.doi.org/10.1093/ejcts/ezr022

[5]   Yamanaka, O. and Hobbs, R.E. (1990) Coronary Artery Anomalies in 126,595 Patients Undergoing Coronary Arteriography. Catheterization and Cardiovascular Diagnosis, 21, 28-40.
http://dx.doi.org/10.1002/ccd.1810210110

[6]   Topaz, O., DiSciascio, G., Goudreau, E., Cowley, M.J., Nath, A., Kohli, R.S. and Vetrovec, G.W. (1990) Coronary Angioplasty of Anomalous Coronary Arteries: Notes on Technical Aspects. Catheterization and Cardiovascular Diagnosis, 21, 106-111.
http://dx.doi.org/10.1002/ccd.1810210213

[7]   Click, R.L., Holmes, D.R., Vlietstra, R.E., Kosinski, A.S. and Kronmal, R.A. (1989) Anomalous Coronary Arteries: Location, Degree of Atherosclerosis and Effect on Survival—A Report from the Coronary Artery Surgery Study. Journal of the American College of Cardiology, 13, 531-537.
http://dx.doi.org/10.1016/0735-1097(89)90588-3

[8]   Yurtdas, M. and Gulen, O. (2012) Anomalous Origin of the Right Coronary Artery from the Left Anterior Descending Artery: Review of the Literature. Cardiology Journal, 19, 122-129.
http://dx.doi.org/10.5603/CJ.2012.0023

[9]   Rao, U., Agrawal, B. and Dwivedi, S. (2013) Anomalous Origin of Right Coronary Artery from Left Coronary Sinus. European Heart Journal Cardiovascular Imaging, 14, 23.
http://dx.doi.org/10.1093/ehjci/jes147

[10]   Halim, S.A., Wang, A. and Harrison, J.K. (2011) Anomalous Right Coronary Artery Origin from the Pulmonary Artery (Arcapa) Coexisting with Obstructive Atherosclerotic Disease of the Left Coronary Artery. The Journal of Invasive Cardiology, 23, E260-E261.

[11]   Lee, H.J., Hong, Y.J., Kim, H.Y., Lee, J., Hur, J., Choi, B.W., Chang, H.J., Nam, J.E., Choe, K.O. and Kim, Y.J. (2012) Anomalous Origin of the Right Coronary Artery from the Left Coronary Sinus with an Interarterial Course: Subtypes and Clinical Importance. Radiology, 262, 101-108.
http://dx.doi.org/10.1148/radiol.11110823

[12]   Praharaj, T.K. and Ray, G. (2001) Percutaneous Transluminal Coronary Angioplasty with Stenting of Anomalous Right Coronary Artery Originating from Left Sinus of Valsalva Using the Voda Guiding Catheter: A Report of Two Cases. Indian Heart Journal, 53, 79-82.

[13]   Elbasan, Z., Sahin, D.Y., Gür, M. and Çayli, M. (2013) A Patient with Anomalous Right Coronary Artery Originating from the Left Anterior Descending Artery Who Underwent Complex Percutaneous Coronary Intervention: A Case Report. Journal of Cardiology Cases, 8, e46-e48.
http://dx.doi.org/10.1016/j.jccase.2013.03.012

[14]   Saito, T., Noguchi, K. and Oikawa, T. (2011) Iatrogenic Dissection of the Anomalous-Origin Right Coronary Artery and Left Sinus of Valsalva. The Journal of Invasive Cardiology, 23, E51-E53.

[15]   Wilentz, J.R. and Hecht, H.S. (2009) Utility of Coronary Computed Tomography Guidance for Intervention of an Anomalous Right Coronary Artery. The Journal of Invasive Cardiology, 21, 374-376.

[16]   Andreou, A.Y., Petrou, P.M., Avraamides, P.C. and Georgiou, G.M. (2012) Symptomatic Anomalous Right Coronary Artery Originating Superior to the Left Aortic Sinus with Interarterial Course in a Young Adult. Diagnosis with Multislice Computed Tomographic Coronary Angiography. Journal of Cardiovascular Medicine, 13, 148-151.
http://dx.doi.org/10.2459/JCM.0b013e32833a05d3

[17]   Sato, Y., Ichikawa, M., Komatsu, S., Matsuo, S., Kunimasa, T., Honye, J., Yoda, S., Matsumoto, N., Tani, S., Kasamaki, Y. and Saito, S. (2007) Multidetector Row Computed Tomographic Findings in a Patient with Anomalous Origin of the Right Coronary Artery from the Left Sinus of Valsalva. Cardiovascular Revascularization Medicine, 8, 60-62.
http://dx.doi.org/10.1016/j.carrev.2006.03.105

[18]   Ichikawa, M., Sato, Y., Komatsu, S., Hirayama, A., Kodama, K. and Saito, S. (2007) Multislice Computed Tomographic Findings of the Anomalous Origins of the Right Coronary Artery: Evaluation of Possible Causes of Myocardial Ischemia. The International Journal of Cardiovascular Imaging, 23, 353-360.
http://dx.doi.org/10.1007/s10554-006-9165-9

[19]   Turgut, O., Tandogan, I. and Dizman, R. (2009) Use of the RCB Guide in PCI of a Chronic Total Occlusion in an Anomalous Right Coronary Artery with High Anterior Takeoff. The Journal of Invasive Cardiology, 21, E70-E72.

[20]   Yip, H., Chen, M.C., Wu, C.J., Yeh, K.H., Fu, M., Hang, C.L., Fang, C.Y. and Hsieh, K.Y. (2001) Primary Angioplasty in Acute Inferior Myocardial Infarction with Anomalous-Origin Right Coronary Arteries as Infarct-Related Arteries: Focus on Anatomic and Clinical Features, Outcomes, Selection of Guiding Catheters and Management. The Journal of Invasive Cardiology, 13, 290-297.

 
 
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