Primary Percutaneous Coronary Intervention in an Anomalous Right Coronary Artery in a Patient with Acute ST-Segment Elevation Myocardial Infarction

Abstract

An anomalous right coronary artery (RCA) arising from the left sinus of Valsalva is a rare congenital coronary anomaly. Although there are reports of percutaneous coronary intervention (PCI) for atherosclerotic lesions of this unusual coronary anomaly, only four cases of acute ST-segment elevation myocardial infarction caused by thrombotic occlusion of an anomalous RCA managed with primary PCI have been documented previously. Herein, we describe a 65-year-old man who had successful PCI in an anomalous RCA in the clinical setting of acute myocardial infarction. The patient was discharged a few days later and has been well during OPD follow-up.