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  • Title: Primary coronary angioplasty in a patient with anomalous origin of the right coronary artery from the left sinus of Valsalva.
    Author: Azzarelli S, Amico F, Giacoppo M, Argentino V, Di Mario C, Fiscella A.
    Journal: J Cardiovasc Med (Hagerstown); 2007 Nov; 8(11):943-5. PubMed ID: 17906482.
    Abstract:
    We report a rare case of primary coronary angioplasty in a patient with acute myocardial infarction due to thrombotic occlusion of an anomalous right coronary artery arising from the left sinus of Valsalva. The non-invasive method of ischaemia localisation, such as ST-segment elevation on the electrocardiogram, was useful in identifying the infarct-related artery. A major factor was the selection of the guiding catheter to access the anomalous right coronary artery and also to obtain good angiographic visualisation and adequate support for percutaneous coronary intervention.
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