Transradial Coronary Angioplasty in an Achondroplastic Patient with Chronic Total Occlusion (CTO): First Case Report

Coronary interventions in patients with achondroplasia have been very rarely reported. The optimal approach to such patients in complex cases is not known. They pose special challenge to coronary revascularisation due to short stature, angle of their elbows, kyphoscoliosis, frequent obesity, and lack of specific equipments and experience. We present an interesting case of 67 years old man with achondroplasia who presented with significant angina symptoms and past history of IWMI. Transradial angiography showed chronic total occlusion (CTO) of right coronary artery. Coronary angioplasty was done via right radial approach using available hardware with good results. To our knowledge, this is the first case of radial angioplasty in an achondroplastic patient with CTO. The procedural difficulties and techniques have been discussed along with brief review of literature.