PCI for in-stent restenosis of an anomalous right coronary artery.
Z Laraichi, H Benamer
✦ AI-curated · Sources linked
Case in brief
A 63-year-old female with multiple cardiovascular risk factors presented with recurrent angina and exertional dyspnea due to in-stent restenosis in an anomalous right coronary artery. Myocardial scintigraphy indicated inferior wall ischemia. Using a novel telescopic technique for selective intubation, angioplasty was performed, resulting in the successful implantation of two drug-eluting stents and significant clinical improvement.
What made this case unusual
The case involved a proximal connection anomaly of the right coronary artery arising from the left coronary sinus, which is a rare anatomical variant complicating standard angioplasty techniques.
Diagnostic / clinical pearl
Clinicians should consider the potential for in-stent restenosis in patients with congenital coronary anomalies, as these cases may require specialized techniques for successful intervention.
Why it matters
This case highlights the importance of innovative approaches, such as the telescopic technique, in managing complex coronary interventions, particularly in patients with anatomical variations.