Document Detail

Angioplasty on an infarct-related anomalous right coronary artery arising from posterior coronary sinus.
MedLine Citation:
PMID:  20372764     Owner:  NLM     Status:  MEDLINE    
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.
Man-Hong Jim; Ryan L Y Ko; Carmen W S Chan; Stephen C W Cheung; Wing-Hing Chow
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of the Academy of Medicine, Singapore     Volume:  39     ISSN:  0304-4602     ISO Abbreviation:  Ann. Acad. Med. Singap.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-04-07     Completed Date:  2010-08-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503289     Medline TA:  Ann Acad Med Singapore     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  258-60     Citation Subset:  IM    
Cardiac Medical Unit, Grantham Hospital, Hong Kong.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary*
Coronary Angiography
Coronary Vessel Anomalies / complications*,  radiography
Heart Catheterization / methods*
Middle Aged
Myocardial Infarction / complications*,  surgery*

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