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

被引:0
作者
Jim, Man-Hong [1 ]
Ko, Ryan L. Y. [2 ]
Chan, Carmen W. S. [2 ]
Cheung, Stephen C. W. [3 ]
Chow, Wing-Hing [1 ]
机构
[1] Grantham Hosp, Cardiac Med Unit, Hong Kong, Hong Kong, Peoples R China
[2] Queen Mary Hosp, Dept Med, Hong Kong, Hong Kong, Peoples R China
[3] Queen Mary Hosp, Dept Radiol, Hong Kong, Hong Kong, Peoples R China
关键词
Acute myocardial infarction; Congenital coronary anomalies; Coronary interventions; SUDDEN-DEATH; ORIGIN;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:258 / 260
页数:3
相关论文
共 12 条
[1]   Coronary anomalies - Incidence, pathophysiology, and clinical relevance [J].
Angelini, P ;
Velasco, JA ;
Flamm, S .
CIRCULATION, 2002, 105 (20) :2449-2454
[2]   Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes [J].
Basso, C ;
Maron, BJ ;
Corrado, D ;
Thiene, G .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 35 (06) :1493-1501
[3]   ISOLATED SINGLE CORONARY-ARTERY - A REVIEW OF 50000 CONSECUTIVE CORONARY ANGIOGRAPHIES [J].
DESMET, W ;
VANHAECKE, J ;
VROLIX, M ;
VANDEWERF, F ;
PIESSENS, J ;
WILLEMS, J ;
DEGEEST, H .
EUROPEAN HEART JOURNAL, 1992, 13 (12) :1637-1640
[4]  
Hariharan R, 2002, TEX HEART I J, V29, P308
[5]  
Jim Man-Hong, 2004, J Invasive Cardiol, V16, P466
[6]  
Jim Man-Hong, 2005, J Interv Cardiol, V18, P101, DOI 10.1111/j.1540-8183.2005.04046.x
[7]   ANOMALOUS AORTIC ORIGIN OF CORONARY-ARTERIES [J].
KIMBIRIS, D ;
ISKANDRIAN, AS ;
SEGAL, BL ;
BEMIS, CE .
CIRCULATION, 1978, 58 (04) :606-615
[8]   ANOMALOUS ORIGIN OF EITHER THE RIGHT OR LEFT MAIN CORONARY-ARTERY FROM THE AORTA WITH SUBSEQUENT COURSING BETWEEN AORTA AND PULMONARY TRUNK - ANALYSIS OF 32 NECROPSY CASES [J].
KRAGEL, AH ;
ROBERTS, WC .
AMERICAN JOURNAL OF CARDIOLOGY, 1988, 62 (10) :771-777
[9]   Sudden death in young athletes [J].
Maron, BJ .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (11) :1064-1075
[10]   SUDDEN CARDIAC DEATH ASSOCIATED WITH ISOLATED CONGENITAL CORONARY-ARTERY ANOMALIES [J].
TAYLOR, AJ ;
ROGAN, KM ;
VIRMANI, R .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1992, 20 (03) :640-647