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JCDR. 2013; 4(3): 204-208

Percutaneous coronary intervention in patients with anomalous origin of coronary artery presenting with acute coronary syndrome: A case series

Satish Karur, Soumya Patra, Ravindranath K. Shankarappa, Navin Agrawal, Ravi S. Math, Manjunath C. Nanjappa.


Coronary artery anomalies are found in 0.6%e1.5% of patients undergoing diagnostic coronary angiogram.
Intervention in these patients poses a particular technical challenge secondary to the aberrancies
in the vessel origin and course. From March 2011 to February 2013, 13 cases with complex coronary
artery anomalies were observed among 2482 patients undergoing CAG (0.52%) at our cath lab. Only three
patients had severe stenosis in the anomalous artery sufficient to require an intervention and had
presented with myocardial infarction. PCI was performed successfully in these 3 patients two of which
had anomalous left circumflex artery and the other having an anomalous right coronary artery.

Key words: Acute coronary syndrome Anomalous coronary artery Coronary angiogram Percutaneous coronary intervention

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