Primary Percutaneous Coronary Intervention in an Anomalous Left Circumflex Artery: Search for the Hidden Culprit
Correspondence Address :
Cinosh Mathew,
B-17, Saket Society, Behind Essar Petrol Pump, Sussen-Tarsali Road, Vadodara-390009, Gujarat, India.
E-mail: cinosh.mathew@gmail.com
Congenital coronary anomalies are rarely detected in patients undergoing diagnostic coronary angiography. They pose a challenge in delay to identify the anomalous artery as well as difficulty in engaging the anomalous vessel. The present case report was of 56-years-old male patient presented with acute onset of chest pain. On evaluation, his electrocardiogram was suggestive of ST segment elevation in inferior leads. He underwent diagnostic coronary angiogram which revealed totally occluded Left Circumflex Artery (LCx) arising anomalously from right coronary osteum. Primary Percutaneous Coronary Intervention (PCI) of LCx could not be performed with routine guide catheters necessitating the use of special multipurpose guide catheter with balloon support. The case highlights the need for the knowledge of coronary anatomy and anomalous origins of coronary arteries and the selection of appropriate guiding catheters and coronary wires.
Aberrant origin, Coronary artery, Multipurpose guiding catheter
10.7860/JCDR/2021/50511.15329
Date of Submission: May 24, 2021
Date of Peer Review: Jul 19, 2021
Date of Acceptance: Aug 13, 2021
Date of Publishing: Sep 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: May 25, 2021
• Manual Googling: Aug 05, 2021
• iThenticate Software: Aug 23, 2021 (19%)
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