Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
Journal website https://www.cardiologyres.org

Case Report

Volume 9, Number 2, April 2018, pages 120-124

Anomalous Coronary Artery From the Opposite Sinus (ACAOS): Technical Challenges During Percutaneous Coronary Intervention

Figures

Figure 1.
Figure 1. Right coronary artery arising from left aortic sinus near the base of left main trunk showing discrete eccentric critical lesion in mid segment (a). Failure to cannulate right coronary artery with various catheter (b).
Figure 2.
Figure 2. Typical design of hockey stick guiding catheter.
Figure 3.
Figure 3. Hockey stick guiding catheter was kept afloat near its ostia (a). Right coronary artery being cannulated with floating wire technique and lesion being predilated (b).
Figure 4.
Figure 4. Lesion being stented with 3.5 × 33 mm Xience Prime stent at 12 atm pressure (a, b).
Figure 5.
Figure 5. Right coronary artery showing TIMI III flow with well deployed stent after high pressure post dilatation.
Figure 6.
Figure 6. MDCT showing ectopically arising RCA with from left sinus (a). Volume rendered reconstruction from inside aorta showing RCA ostium (blue arrow head) lying in close vicinity of base of left main trunk (red arrow) (b).