Percutaneous coronary intervention to anomalous right coronary artery and retained piece of guidewire in the coronary vasculature

J Interv Cardiol. 2005 Jun;18(3):201-4. doi: 10.1111/j.1540-8183.2005.04097.x.

Abstract

The incidence of anomalous origin of the coronary arteries varies between 0.2% and 1.2%; the anomalous right coronary artery accounting for 6--27% of all the cases. To date technical experience on angioplasty in patients with anomalous coronary arteries reported in the literature is limited. A major factor is the selection of the guiding catheter to access the anomalous origin and also to give good support during angioplasty. We report the details of angioplasty in a patient with a similar problem and the dilemma following a fractured segment of the guidewire retained in the coronary vasculature.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon, Coronary / adverse effects*
  • Angioplasty, Balloon, Coronary / instrumentation
  • Cardiac Catheterization
  • Coronary Angiography
  • Coronary Vessel Anomalies / diagnostic imaging
  • Coronary Vessel Anomalies / therapy*
  • Device Removal / methods
  • Equipment Failure
  • Follow-Up Studies
  • Foreign Bodies / diagnostic imaging
  • Foreign Bodies / etiology*
  • Foreign Bodies / surgery
  • Humans
  • Male
  • Middle Aged
  • Reoperation