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Case Report

JCDR. 2016; 7(1): 32-34


Successful Primary Percutaneous Intervention with Stenting in Anomalous Right Coronary Artery Arising from left Coronary sinus in case of Acute Inferior wall Myocardial Infarction Complicated by Cardiac Tamponade

Charanjit Singh, Ajit Pal Singh.


Abstract

Anomalous origin of the right coronary artery (RCA) from the left sinus
of valsalva is a rare congenital abnormality. The unusual location and noncircular
orifice of this anomaly poses a great technical challenge for selective
catheterization and percutaneous coronary intervention (PCI). Hemopericardium
leading to tamponade complicating acute MI is rare and leads to
hemodynamic instability. We report a case of acute inferior wall MI with a
moderate pericardial effusion in cardiac tamponade who was treated with
immediate pericardiocentesis followed by PCI and stenting of an anomalously
arising RCA from the left sinus.

Key words: Anomalous coronary artery, Primary PCI, Tamponade, Hemopericardium, Inferior wall MI.






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