The authors describe a case of angioplasty in an anomalous right coronary artery arising from an aberrant ostium in the left sinus of Valsalva anterior and slightly superior to the ostium of the left main coronary artery. The patient also had associated bicuspid aortic valve. To the best of their knowledge, this is the first case of angioplasty in an aberrant right coronary artery originating from an ectopic ostium. The choice of guiding catheter and balloon angioplasty catheter is discussed.
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References
1.
Chan Cns, Berland J., Cribier A., et al: Angioplasty of the right coronary artery with origin of all three arteries from a single ostium in the right sinus of Valsalva. Am Heart J126:985-987, 1993.
2.
Brandt B., Martins JB, Marcus ML: Anomalous origin of the right coronary artery from the left sinus of Valsalva . N Engl J Med309:596-598, 1983.
3.
Rovani X., Relland J., Gaux JC: Anomalous origin of the right coronary artery from the ascending aorta. Cathet Cardiovasc Diagn20:136-138, 1990.
4.
Roberts WC: Major anomalies of coronary arterial origin seen in adulthood. Am Heart J111:941-962, 1986.
Bernard DK, Ambrose JA, Stein JH, et al: Anomalous origin of the right coronary artery from the ascending aorta above the left coronary sinus. Cathet Cardiovasc Diagn8:277-280, 1982.
7.
Kimbiris D., Lo E., Iskandrian A.: Percutaneous transluminal coronary angioplasty of anomalous left circumflex coronary artery. Cathet Cardiovasc Diagn13:407-410, 1987.
8.
Mooss AN, Heintz MH: Percutaneous transluminal angioplasty of anomalous right coronary artery. Cathet Cardiovasc Diagn16:16-18, 1989.
9.
Stauffer JC, Sigwart U., Vogt P., et al: Transluminal angioplasty of a single coronary artery. Am Heart J122:569-571, 1991.
10.
Gibbs HH, Spokojny AM, Molloy TJ, et al: Percutaneous transluminal coronary angioplasty of a right coronary artery arising from the left main coronary artery. Cathet Cardiovasc Diagn30:37-39, 1993.
11.
Topaz O., DeMarchena EJ, Perin E., et al: Anomalous coronary arteries: angiographic findings in 80 patients . Int J Cardiol34:129-138, 1992.
12.
Topaz O., DiSciascio G., Goudreau E., et al: Coronary angioplasty of anomalous coronary arteries: Notes on technical aspects. Cathet Cardiovasc Diagn21:106-111, 1990.
13.
Mahowald JM , Blieden LC, Coe J., et al: Ectopic origin of a coronary artery from the aorta. Chest89:668-672, 1986.
14.
Virmani R., Chun Pkc, Goldstein RB, et al: Acute take offs of the coronary arteries along the aortic wall and congenital coronary ostial valve like ridges associated with sudden death . J Am Coll Cardiol39:766-771, 1984.
