Abstract

Coronary artery anomalies are rarely diagnosed during cardiac catheterization. The most common anomaly is anomalous left circumflex artery arising from the right sinus of Valsalva. In general they are asymptomatic and benign, however some patients can present with myocardial ischemia, myocardial infarction or sudden death. Treatment of atherosclerotic lesions of anomalous coronary arteries by means of percutaneous coronary intervention has rarely been reported in the literature. We present a case of a patient who was diagnosed with acute coronary syndrome and underwent an early coronary angiography followed by a successful percutaneous intervention with stenting of an anomalous left circumflex artery arising from the right sinus of Valsalva through the femoral route.

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