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Successful Percutaneous Coronary Intervention for Atherosclerotic Coronary Lesion with Anomalous Origin of the Right Coronary Artery

by Sato, Akira , Matsuda, Junji , Nitta, Junichi , Murata, Kazuya , Ikenouchi, Takashi , Kato, Shunichi , Inamura, Yukihiro , Nitta, Giichi , Takamiya, Tomomasa , Yamato, Tsunehiro , Matsumura, Yutaka , Kato, Nobutaka , Kanoh, Miki , Negi, Ken

in Angina / Angina pectoris / Angioplasty / Arrhythmia / Arteries / Arteriosclerosis / Atherosclerosis / Balloon angioplasty / Cardiovascular disease / Case Report / Case reports / Catheters / Congenital diseases / Coronary artery / Death / Dyspnea / Genetic disorders / Heart attack / Medical imaging / Myocardial infarction / Respiration / Stenosis / Stents / Transluminal angioplasty

2018

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Successful Percutaneous Coronary Intervention for Atherosclerotic Coronary Lesion with Anomalous Origin of the Right Coronary Artery

2018

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Successful Percutaneous Coronary Intervention for Atherosclerotic Coronary Lesion with Anomalous Origin of the Right Coronary Artery

2018

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Journal Article

Successful Percutaneous Coronary Intervention for Atherosclerotic Coronary Lesion with Anomalous Origin of the Right Coronary Artery

Sato, Akira,

Matsuda, Junji,

Nitta, Junichi,

Murata, Kazuya,

Ikenouchi, Takashi,

Kato, Shunichi,

Inamura, Yukihiro,

Nitta, Giichi,

Takamiya, Tomomasa,

Yamato, Tsunehiro,

Matsumura, Yutaka,

Kato, Nobutaka,

Kanoh, Miki,

Negi, Ken

2018

Overview

Congenital coronary artery anomalies, including anomalous origin of a coronary artery, can manifest as life-threatening conditions, such as myocardial infarction or arrhythmia, and may even lead to sudden death associated with specific congenital anatomical features. Such arteries can also develop atherosclerotic lesions. This report describes the case of a 75-year-old man who was admitted to our hospital due to exertional dyspnea. The right coronary artery was found to originate from the left coronary sinus and exhibit tight stenosis due to atherosclerosis, causing effort angina pectoris. This case highlights the fact that coronary artery anomalies can cause angina pectoris via both atherosclerotic and nonatherosclerotic effects, and successful revascularization was achieved noninvasively via percutaneous coronary angioplasty.

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Publisher

Hindawi Publishing Corporation,Hindawi,John Wiley & Sons, Inc,Hindawi Limited,Wiley

Subject