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KMID : 0368120080380030179
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Korean Circulation Journal
2008 Volume.38 No. 3 p.179 ~ p.183
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Two Cases of Successful Primary Percutaneous Coronary Intervention in Patients With an Anomalous Right Coronary Artery Arising From the Left Coronary Cusp
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Kim Jong-Yeon
Yoon Sang-Goo
Doh Joon-Hyung
Choe Hyun-Min
Kwon Sung-Uk
Namgung June
Yi Seong-Yoon
Lee Won-Ro
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Abstract
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An anomalous origin of the right coronary artery (RCA) from the left coronary cusp is a rare congenital anomaly. Because of the unusual location and the noncircular luminal orifice of this anomaly, cannulation of this artery during coronary angiography and percutaneous coronary intervention (PCI) poses significant technical difficulties when using the currently available guiding catheters. Primary PCI should be performed as quickly as possible when a patient displays this condition. When we face the situation of an anomalous artery during primary PCI, it takes a much longer time to open the occluded artery. We report here on two cases of successful primary PCI with using manually manipulated catheters and Ikari type guiding catheters in 2 patients who both had an anomalous RCA arising from the left coronary cusp
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KEYWORD
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Coronary vessel anomalies, Percutaneous transluminal coronary angioplasty, Tomography, X-ray computed
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