Bagur R, Gleeton O, Bataille Y, Bilodeau S, Rodés-Cabau J, Bertrand OF. Right coronary artery from the left sinus of valsalva: Multislice CT and transradial PCI. World J Cardiol 2011; 3(2): 54-56 [PMID: 21390197 DOI: 10.4330/wjc.v3.i2.54]
Corresponding Author of This Article
Olivier F Bertrand, MD, PhD, FSCAI, Interventional Cardiology Laboratories, Quebec Heart and Lung Instituten, Laval University, 2725 Chemin Sainte-Foy, G1V 4G5 - Quebec City, Quebec G1V4G5, Canada. olivier.bertrand@criucpq.ulaval.ca
Article-Type of This Article
CASE REPORT
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Rodrigo Bagur, Onil Gleeton, Yoann Bataille, Sylvie Bilodeau, Josep Rodés-Cabau, Olivier F Bertrand, Interventional Cardiology Laboratories, Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec G1V4G5, Canada
Author contributions: Bagur R, Gleeton O and Bilodeau S directly participated in the case, conception, design of study, acquisition of data and drafting the article; Bagur R, Gleeton O, Bataille Y, Bilodeau S, Rodés-Cabau J and Bertrand OF contributed to manuscript writing, including revising it critically for important intellectual content; Bagur R, Bilodeau S and Bertrand OF contributed to supportive work, including technology and materials support.
Correspondence to: Olivier F Bertrand, MD, PhD, FSCAI, Interventional Cardiology Laboratories, Quebec Heart and Lung Instituten, Laval University, 2725 Chemin Sainte-Foy, G1V 4G5 - Quebec City, Quebec G1V4G5, Canada. olivier.bertrand@criucpq.ulaval.ca
Telephone: +1-418-6568711 Fax: +1-418-6568711
Received: December 24, 2010 Revised: January 21, 2011 Accepted: January 27, 2011 Published online: February 26, 2011
Abstract
A 42-year-old-woman presented with de novo crescendo angina. Thallium-scintigraphy showed inferior ischemia. Coronary angiogram revealed a right coronary artery (RCA), originating from the left sinus of Valsalva with a severe proximal systolic compression. She underwent successful transradial percutaneous coronary intervention with stent implantation. Multislice-computed tomography (MSCT) is usually used to evaluate coronary artery anomalies and can effectively show the anomalous RCA and the inter-arterial trajectory between the aorta and pulmonary arteries. Anomalies of the origin of the coronary arteries are rare, but can produce specific clinicopathological entities that should be diagnosed with accuracy. This case report illustrates the role of MSCT in the detailed description of an abnormal coronary artery and the use of stenting for symptoms relief.
