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J Geriatr Cardiol. 2013 Jun;10(2):205-9. doi: 10.3969/j.issn.1671-5411.2013.02.011.

Percutaneous coronary intervention with anomalous origin of right coronary artery: case reports and literature review.

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1
Division of Dyslipidemia, State Key Laboratory of Cardiovascular Disease, Fu Wai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Peking Union Medical College, BeiLiShi Road 167, Beijing 100037, China ; Divison of Cardiology, the Fifth Hospital of Wuhan, Wuhan 430050, China.

Abstract

Percutaneous coronary intervention (PCI) in an anomalous right coronary artery (RCA) can be technically difficult because selective cannulation of the vessel may not be easy. We thereby present two cases with unstable angina pectoris of anomalous originated RCA. The PCI were successfully performed in two patients with a special guiding wire manipulating skill which we called "gone with the flow" combined with balloon anchoring technology, providing excellent angiographic visualization and sound guide support for stent delivery throughout the procedure without severe cardiovascular adverse effects. Our primary data suggested that PCI for geriatric patients with an anomalous origin of RCA accompanied by severe atherosclerotic lesions might also be a safe, available, and feasible strategy.

KEYWORDS:

Angina; Anomalous right coronary artery; Coronary angiography; Percutaneous coronary intervention

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