Project description:BackgroundAn anomalous right coronary artery (ARCA) arising from the left sinus of Valsalva is an uncommon congenital anomaly. The unusual location, take-off and intramural courses of ARCA pose a considerable technical challenge during percutaneous coronary intervention (PCI).AimsWe sought to report our experience of PCI of ARCA in 35 cases of atherosclerotic occlusion.MethodsThe PCI database of 35 cases of ARCA was retrospectively analysed. The details about demography, clinical presentation, PCI procedure and clinical follow-up were noted.ResultsThe mean age was 56.7±13.5 years. The clinical presentation included stable angina in 45.7%, unstable angina in 20% and acute myocardial infarction in 34.3% of patients. Vascular access was transradial in 37.1% of cases, transfemoral in 60% of cases, and transbrachial in 1 case (2.9%). Judkins left and Amplatz left were commonly used guide catheters. Two patients with balloon-uncrossable, calcified lesions required rotablation-assisted PCI. Intravascular imaging was performed in 12 patients (34.3%). Optical coherence tomography demonstrated a proximal intramural course in 3 patients, and a slit-like orifice in 4 patients. The mean radiation dose and fluoroscopy time were 877±687.3 mGy and 18.8±11.6 minutes, respectively. Twenty-eight (80%) patients had an asymptomatic median follow-up of 49 (interquartile range: 29.0-97.5) months.ConclusionsWe performed successful PCI in a cohort of 35 patients with ARCA, with favourable long-term clinical outcomes. The selection of an appropriate guide catheter and technical skills were important factors in achieving favourable results.

| S-EPMC10015482 | biostudies-literature

Origin of all three coronaries separately from right sinus of valsalva - A rare anomaly.

Project description:Anomalous coronary artery origin from opposite sinus is uncommon and separate origin of all three coronary arteries from right sinus of valsalva is exceptionally rare. The anomaly may cause ischemia due to atherosclerosis or due to altered ostial configuration, its exit angulations from the aorta, route of the artery, and intussuception. Various imaging modalities such as echocardiography, coronary angiography, computed tomography, and magnetic resonance imaging have been used to diagnose origin and course of anomalous coronary arteries. Management includes medical treatment and percutaneous or surgical revascularization. Percutaneous coronary intervention is technically challenging and needs judicious selection of guide catheters. We report a patient who presented with inferior wall myocardial infarction and separate origin of all three coronaries from right sinus of valsalva with successful percutaneous revascularization.

| S-EPMC6269415 | biostudies-literature

Single coronary artery originating from the right coronary sinus.

Project description: Not available

| S-EPMC2929851 | biostudies-literature

Anomalous Left Coronary Artery Arising From Right Coronary Sinus in the Setting of Anterior STEMI.

Project description:We present the case of a 55-year-old man who had a diagnosis of an acute anterior ST-segment elevation myocardial infarction. Emergency angiography demonstrated that both coronary systems originated from the right coronary sinus with a culprit proximal left anterior descending artery lesion, which was stented. This is a rare presentation, with only 1 similar case found in published reports. (Level of Difficulty: Intermediate.).

| S-EPMC8353565 | biostudies-literature

Ruptured right sinus of Valsalva into main pulmonary artery.

Project description:A young adult who presented with congestive heart failure was found to have ruptured aneurysm of right sinus of Valsalva. The aneurysm was opening into the main pulmonary artery, which was demonstrated well by transthoracic and transesophageal echocardiography and confirmed by cardiac catheterization. Aneurysm was repaired followed by aortic valve replacement.

| S-EPMC3354457 | biostudies-literature

Sinus of Valsalva thrombosis involving left main coronary artery.

Project description: Not available

| S-EPMC8453373 | biostudies-literature

Coronary artery aneurysm with a fistulous connection to the right atrium mimicking a sinus of Valsalva aneurysm.

Project description:Coronary artery aneurysms are uncommon and may be complicated by rupture, thromboembolic phenomenon, and more rarely fistulation into one of the cardiac chambers. This case report highlights the difficulty in making a preoperative diagnosis of a coronary artery aneurysm that has fistulated into the right atrium, and lists possible differential diagnoses.

| S-EPMC1767494 | biostudies-literature

Multimodality imaging of a ruptured right coronary sinus of Valsalva aneurysm.

Project description: Not available

| S-EPMC8504661 | biostudies-literature

Primary percutaneous intervention in anomalous right coronary artery originating from anomalously arising single coronary trunk.

Project description: Not available

| S-EPMC6177099 | biostudies-literature