Key result
Right radial primary angioplasty of an anomalous RCA succeeds in a patient with arteria lusoria.
Why the study?
Performing coronary intervention via right radial access is challenging in patients with arteria lusoria and anomalous right coronary artery origin due to difficulty hooking coronary ostia and gaining guide catheter support.
Case Report (n=1)
Right radial access can be a viable alternative for primary angioplasty in patients with arteria lusoria and anomalous RCA when appropriate guide catheters are used.
Radial access feasible in arteria lusoria with anomalous RCA; leaves open optimal strategies pending larger series.
We report a case of primary angioplasty of right coronary artery (RCA) through right radial artery access in a patient with aberrant right subclavian artery (arteria lusoria) and anomalous origin of RCA. Major challenges in such cases are difficulty in hooking coronary ostia and getting enough support from the guide catheters. However, another challenge confronted in this patient was the anomalous origin of RCA from the left sinus. Herein, we discuss key aspects of management in this scenario. Arteria lusoria with anomalous RCA can be confronted during the transradial intervention. Use of an appropriate guide catheter to facilitate the procedure in this scenario can help interventionists to manage such a situation, and this can be a useful alternative in those patients with unfavorable transfemoral access along with this rare anomaly.
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Kumar et al. (2021) conducted a case report in Aberrant right subclavian artery (arteria lusoria) and anomalous origin of right coronary artery (n=1). Primary angioplasty of right coronary artery through right radial artery access was evaluated. Primary angioplasty of an anomalous right coronary artery through right radial access in a patient with arteria lusoria can be successfully managed using an appropriate guide catheter.
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