Das Paul K, Meredith Ian T
Cardiovascular Research Centre, Monash Medical Centre, Melbourne, Australia.
Heart Lung Circ. 2006 Oct;15(5):342-5. doi: 10.1016/j.hlc.2006.03.012. Epub 2006 May 12.
Intervention to anomalous coronaries can present specific challenges: non-standard guide catheters may be required to provide adequate access and support, the course of the arteries can be tortuous with sharp angulations, and they may subtend a critical area of myocardium. We present the first report of percutaneous coronary intervention to the bifurcation of an anomalous right coronary artery arising from the left anterior descending artery. This lesion contained a high burden of calcification, which required rotational atherectomy of the left anterior descending artery before kissing stenting of the bifurcation.
可能需要非标准的引导导管来提供足够的通路和支撑，动脉走行可能迂曲且有锐角，并且它们可能覆盖心肌的关键区域。我们报告了首例经皮冠状动脉介入治疗起源于左前降支的异常右冠状动脉分叉处病变。该病变钙化严重，在分叉处进行双支架置入之前需要对左前降支进行旋磨术。
