Annals of the Academy of Medicine, Singapore · 2010
Angioplasty on an infarct-related anomalous right coronary artery arising from posterior coronary sinus.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Jim Man-Hong, Ko Ryan L Y, Chan Carmen W S, Cheung Stephen C W, Chow Wing-Hing
Аннотация
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.
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.