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Case report


Percutaneous Coronary Intervention in Single Coronary Artery from Right Sinus: Radial Route is Right.

Rakesh MahlaHimanshu MahlaDinesh ChoudharyPintu Nahata
Department of Cardiology, HRMC Institute of Cardiology, Sardar Patel Medical College, Bikaner, Rajasthan, India
Date of Submission: 16-Sep-2015, Date of Acceptance: 19-Nov-2015, Date of Web Publication: 30-Nov-2015.
Corresponding Author:
Corresponding Author

Himanshu Mahla

Department of Cardiology, HRMC Institute of Cardiology, SP Medical College, Bikaner, Rajasthan, India.
E-mail: himanshumahla@yahoo.in

Corresponding Author:
Corresponding Author

Himanshu Mahla

Department of Cardiology, HRMC Institute of Cardiology, SP Medical College, Bikaner, Rajasthan, India.
E-mail: himanshumahla@yahoo.in

DOI: 10.4103/2156-7514.170735 Facebook Twitter Google Linkedin

ABSTRACT


We present percutaneous coronary intervention (PCI) using radial approach in a rare case of single coronary artery originating from the right sinus. Although these anomalies and stenosis of anomalous vessels have been described previously, treatment of atherosclerotic lesions by PCI has rarely been reported. There is a definite procedural risk during PCI in patients with a single ostium because dissection with the guiding catheter would result in a catastrophic event. Additionally, technical difficulties may occur due to the ostial configuration and course of the branch to be stented. The patient suffered an acute coronary syndrome-inferior wall STEMI, and was thrombolysed elsewhere within a window period of 4 h. He had post myocardial infarction (MI) angina and was referred to our center after 3 days of thrombolysis. We present this technically challenging and rare case in which PCI of right coronary artery was performed through the radial route.
Keywords: Coronary Artery Disease, STEMI, Percutaneous Coronary Intervention, Single Coronary Artery

Cited in 1 Document

  1. V. A. Podkamenniy, A. A. Sharavin, D. I. Likhandi, Y. V. Zheltovsky, A. V. Vyrupaev and А. G. Makeev (2019) A case of off-pump coronary artery bypass grafting for single coronary artery. Kompleks. probl. serdečno-sosud. zabol. 7(4S):129. doi: 10.17802/2306-1278-2018-7-4S-129-134

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