Navigating the Uncommon: PCI to an Anomalous Right Coronary Artery With a Malignant Course Following Failed Arterial Grafts
A 67-year-old male presented with non-ST elevation myocardial infarction (NSTEMI) with underlying anomalous origin of the right coronary artery (RCA) and a malignant course between the aorta and pulmonary artery. Previous CABG with LIMA and RIMA grafts had failed, leaving the patient with severe in-...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/cric/8125980 |
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| _version_ | 1849735884235079680 |
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| author | Ayman Helal Mohsin Farooq Mohamed Alama Ibrahim Antoun |
| author_facet | Ayman Helal Mohsin Farooq Mohamed Alama Ibrahim Antoun |
| author_sort | Ayman Helal |
| collection | DOAJ |
| description | A 67-year-old male presented with non-ST elevation myocardial infarction (NSTEMI) with underlying anomalous origin of the right coronary artery (RCA) and a malignant course between the aorta and pulmonary artery. Previous CABG with LIMA and RIMA grafts had failed, leaving the patient with severe in-stent restenosis (ISR) in the LAD and degenerated, blocked grafts. The patient underwent percutaneous coronary intervention (PCI) to the anomalous RCA, which posed challenges in engagement due to its anomalous course. This case report discusses the complexities of managing such anatomies, emphasizing the role of CT coronary angiography, the difficulty of engaging anomalous arteries, and the techniques used to achieve successful PCI. |
| format | Article |
| id | doaj-art-5bcaff520bd44e64a515d3e1c7b24102 |
| institution | DOAJ |
| issn | 2090-6412 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-5bcaff520bd44e64a515d3e1c7b241022025-08-20T03:07:25ZengWileyCase Reports in Cardiology2090-64122025-01-01202510.1155/cric/8125980Navigating the Uncommon: PCI to an Anomalous Right Coronary Artery With a Malignant Course Following Failed Arterial GraftsAyman Helal0Mohsin Farooq1Mohamed Alama2Ibrahim Antoun3Department of CardiologyDepartment of CardiologyCardiology imagingDepartment of CardiologyA 67-year-old male presented with non-ST elevation myocardial infarction (NSTEMI) with underlying anomalous origin of the right coronary artery (RCA) and a malignant course between the aorta and pulmonary artery. Previous CABG with LIMA and RIMA grafts had failed, leaving the patient with severe in-stent restenosis (ISR) in the LAD and degenerated, blocked grafts. The patient underwent percutaneous coronary intervention (PCI) to the anomalous RCA, which posed challenges in engagement due to its anomalous course. This case report discusses the complexities of managing such anatomies, emphasizing the role of CT coronary angiography, the difficulty of engaging anomalous arteries, and the techniques used to achieve successful PCI.http://dx.doi.org/10.1155/cric/8125980 |
| spellingShingle | Ayman Helal Mohsin Farooq Mohamed Alama Ibrahim Antoun Navigating the Uncommon: PCI to an Anomalous Right Coronary Artery With a Malignant Course Following Failed Arterial Grafts Case Reports in Cardiology |
| title | Navigating the Uncommon: PCI to an Anomalous Right Coronary Artery With a Malignant Course Following Failed Arterial Grafts |
| title_full | Navigating the Uncommon: PCI to an Anomalous Right Coronary Artery With a Malignant Course Following Failed Arterial Grafts |
| title_fullStr | Navigating the Uncommon: PCI to an Anomalous Right Coronary Artery With a Malignant Course Following Failed Arterial Grafts |
| title_full_unstemmed | Navigating the Uncommon: PCI to an Anomalous Right Coronary Artery With a Malignant Course Following Failed Arterial Grafts |
| title_short | Navigating the Uncommon: PCI to an Anomalous Right Coronary Artery With a Malignant Course Following Failed Arterial Grafts |
| title_sort | navigating the uncommon pci to an anomalous right coronary artery with a malignant course following failed arterial grafts |
| url | http://dx.doi.org/10.1155/cric/8125980 |
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