An Anomalous Story Of A Rare Percutaneous Intervention To Left Anterior Descending / Right Coronary Artery Bifurcation

Abstract

We report a rare percutaneous intervention to the Left Anterior Descending (LAD) and Right Coronary Artery (RCA) bifurcation in a 77 year old with anomalous origin of the RCA from mid LAD and Medina 1,1,1 bifurcation disease. The LAD/RCA bifurcation lesion was successfully treated using Mini crush technique.

Percutaneous Coronary Intervention in an Isolated Branch of the Right Coronary Artery Anomalously Originating from the Mid-Left Anterior Descending Artery

“…Regarding cases where the RCA originates from the mid-LAD, previous reports have described using coronary artery bypass as the treatment for such cases 3,7) . As for PCI, KBT was performed and one stent was deployed at the bifurcation lesions in one case 8) , whereas two stents were deployed in other reported cases 6,9,10) . Another report described a case where two stents were deployed at the proximal LAD and the jailing ostium of the ectopic RCA in a patient with acute myocardial infarction 11) .…”

Guide catheter extension systems: Hype or a need?

“…Major challenges in these anomalous arteries includes target artery cannulation, co-axial alignment and guide support. 9 , 26 To overcome these challenges, GCES have been proven very useful tools in recent years.…”