• Vol. 39 No. 3, 258–260
  • 15 March 2010

Angioplasty on an Infarct-related Anomalous Right Coronary Artery Arising from Posterior Coronary Sinus

182



182 Views
24 Downloads

Download PDF

ABSTRACT

Introduction: The objective of this case report was to illustrate the diagnostic and intervention approach of anomalous right coronary artery (RCA).

Clinical Picture: A 60-year-old man presented with acute inferior myocardial infarction. Cardiac catheterisation revealed an anomalous RCA arising from the posterior coronary sinus as the infarct-related artery.

Treatment: Ad hoc percutaneous coronary intervention with stent implantation was performed using a few technical modifications.

Outcome: Good angiographic result was achieved within 90 minutes, with 260 mL of contrast used. Conclusion: A high index of suspicion and logical diagnostic and intervention approach are required for the proper management of anomalous RCA.


A 60-year-old chronic smoker had delayed presentation (>18 hours) of acute inferior myocardial infarction with electrocardiogram showing 1.0 mm ST-segment elevation in leads II, II, and aVF on admission to hospital. Subsequently, he developed sustained complete atrioventricular block with no ventricular escape which necessitated temporary pacing.

This article is available only as a PDF. Please click on “Download PDF” on top to view the full article.