导航不寻常：动脉移植失败后出现恶性病程的异常右冠状动脉PCI。

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Case Reports in Cardiology Pub Date : 2025-05-12 eCollection Date: 2025-01-01 DOI:10.1155/cric/8125980

Ayman Helal, Mohsin Farooq, Mohamed Alama, Ibrahim Antoun

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引用次数: 0

摘要

男性，67岁，非st段抬高型心肌梗死（NSTEMI），右冠状动脉（RCA）异常起源，主动脉和肺动脉之间恶性病程。之前的LIMA和RIMA冠脉搭桥手术都失败了，导致患者LAD出现严重的支架内再狭窄（ISR）和移植物变性、阻塞。患者接受了异常RCA的经皮冠状动脉介入治疗（PCI），由于其异常的过程，给接触带来了挑战。本病例报告讨论了处理此类解剖的复杂性，强调了CT冠状动脉造影的作用，处理异常动脉的困难，以及成功实现PCI的技术。

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Navigating the Uncommon: PCI to an Anomalous Right Coronary Artery With a Malignant Course Following Failed Arterial Grafts.

A 67-year-old male presented with non-ST elevation myocardial infarction (NSTEMI) with underlying anomalous origin of the right coronary artery (RCA) and a malignant course between the aorta and pulmonary artery. Previous CABG with LIMA and RIMA grafts had failed, leaving the patient with severe in-stent restenosis (ISR) in the LAD and degenerated, blocked grafts. The patient underwent percutaneous coronary intervention (PCI) to the anomalous RCA, which posed challenges in engagement due to its anomalous course. This case report discusses the complexities of managing such anatomies, emphasizing the role of CT coronary angiography, the difficulty of engaging anomalous arteries, and the techniques used to achieve successful PCI.

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来源期刊

Case Reports in Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

自引率

0.00%

发文量

审稿时长

13 weeks

期刊介绍： Case Reports in Cardiology is a peer-reviewed, Open Access journal that publishes case reports and case series related to hypertension, arrhythmia, congestive heart failure, valvular heart disease, vascular disease, congenital heart disease and cardiomyopathy.