Successful percutaneous coronary intervention in the setting of an aberrant left coronary artery arising from the right coronary cusp in a patient with acute coronary syndrome: a case report

BMC Cardiovascular Disorders

Case Report

Jong-Seon Park¹  Jung-Hee Lee¹ 

[1] Division of Cardiology, Yeungnam University Medical Center, Yeungnam University College of Medicine, 3170, Hyeonchung-ro, Nam-gu, Daegu, Korea;

关键词: Coronary anomaly;    Acute coronary syndrome;    Percutaneous coronary intervention;   

DOI  :  10.1186/s12872-017-0621-3

 received in 2017-04-07, accepted in 2017-07-07,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundAn aberrant origin of the left coronary artery (LCA) from the right coronary cusp (RCC) is an extremely rare congenital anomaly. We here report on successful percutaneous coronary intervention (PCI) in a patient presenting with acute coronary syndrome and an aberrant origin of the LCA from the RCC.Case presentationA 50-year-old man presented at our emergency department with recurrent resting chest pain. Following unsuccessful attempts at visualizing the left coronary artery using Judkins left and Amplatz catheters, an aortogram using a pigtail catheter suggested anomalous left coronary artery origin and showed a significant occlusive lesion at proximal left anterior descending artery. A Judkins right 4 guiding catheter was placed around the left coronary ostium and exchanged for a Judkins left 3.5 guiding catheter after introducing a .014" coronary long wire into the left circumflex artery. With excellent angiographic visualization and guide support, a drug-eluting stent was then successfully implanted. Cardiac computed tomography (CT) demonstrated left coronary artery origin from right coronary cusp.ConclusionThis report presents a case of LCA originating from the RCC accompanied with acute coronary syndrome that was treated with successful PCI.

【 授权许可】

CC BY   
© The Author(s). 2017