Abstract
Coronaries with anomalous origin are difficult to visualize on coronary angiography. Percutaneous coronary intervention (PCI) is a difficult procedure in these vessels because of difficulty in cannulation and poor guide support. The case of a 54-year-old gentleman who presented with an acute inferior wall myocardial infarction from occlusion of an anomalous right coronary artery arising from the left coronary cusp is described.
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