A case of acute thrombotic occlusion of an anomalous origin of the right coronary artery from the left coronary sinus: focus on the importance of dual-source computed tomography for failed emergency coronary angiography

Can J Cardiol. 2012 Nov-Dec;28(6):759.e5-7. doi: 10.1016/j.cjca.2012.03.009. Epub 2012 May 25.

Abstract

Coronary artery anomalies in patients undergoing coronary angiography are often technically challenging for invasive cardiologists and may delay revascularization time. We report a patient who underwent successful bailout revascularization using dual-source computed tomography after failed emergency angiography. This case emphasizes the utility of dual-source computed tomography, especially in an urgent clinical setting, for allowing interventional cardiologists to rapidly identify and effectively treat the aberrant coronary artery.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Coronary Angiography*
  • Coronary Thrombosis / diagnostic imaging*
  • Coronary Vessel Anomalies / diagnostic imaging*
  • Diagnostic Errors / prevention & control*
  • Emergency Medical Services*
  • Humans
  • Male
  • Middle Aged
  • Sinus of Valsalva / abnormalities*
  • Sinus of Valsalva / diagnostic imaging
  • Tomography, X-Ray Computed / methods*