J Transcat Intervent.2023;31:eA20230003.
Percutaneous treatment of anomalous origin of the right coronary artery with malignant course in a patient with aborted sudden death
Larissa Xavier Alves de Oliveira
, Mauricio Lopes Prudente
, Álvaro de Moraes Júnior
, Paula Marçal Chiavenato
, Patrícia Ferreira Demuner
, Giulliano Gardenghi
DOI: 10.31160/JOTCI202331A20230003
ABSTRACT
Coronary anomalies are less frequent than acquired coronary diseases, such as atherosclerosis, and have been implicated as a cause of cardiovascular events. This case report describes an incidental finding on angiography of an anomalous right coronary artery with origin in the left coronary sinus and an intra-arterial course, after an episode of aborted sudden death. The Heart Team analysis indicated a percutaneous approach with drug-eluting stent implantation at the origin of the right coronary artery as the best treatment, and the procedure was successfully performed. This case report and recent studies have demonstrated percutaneous treatment of coronary anomalies is a safe option for selected patients, considering clinical presentation, anatomy study, and training of the cath lab team.
Keywords: Cath lab; Coronary angiography; Death, sudden; Incidental findings
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