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논문 기본 정보

자료유형
학술저널
저자정보
김현국 (Department of Cardiovascular Medicine Chosun University Medical School Gwangju Korea) 김성수 (Department of Cardiovascular Medicine Chosun University Medical School Gwangju Korea) 기영재 (Department of Cardiovascular Medicine Chosun University Medical School Gwangju Korea) 최동현 (Department of Cardiovascular Medicine Chosun University Medical School Gwangju Korea) 박근호 (Department of Cardiovascular Medicine Chosun University Medical School Gwangju Korea)
저널정보
조선대학교 의학연구원 Medical Biological Science and Engineering Medical Biological Science and Engineering Vol.4 No.2
발행연도
2021.1
수록면
111 - 115 (5page)

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Anomalous high take-off of the right coronary artery (RCA) ostium above the sinuses of valsalva is extremely rare. It was not well visualized on conventional coronary angiography. A 52-year-old man was referred to emergency department presenting as chest pain. Because electrocardiography showed ST elevation in the inferior lead, he underwent emergent cardiac catherization, which revealed mild stenosis in the left coronary artery. However, the ostium of the RCA could not be found arising from the coronary cusp despite using aortogram with pigtail. Intraprocedural coronary computed tomography angiography showed a near total occlusion in the middle RCA, which had an anomalous take-off from the left anterior superior aspect of the ascending aorta, 2 cm above the left main coronary artery. Judkins left 4 guiding catheter via femoral approach could be engaged in the ostium of RCA. Successful percutaneous angioplasty using the Guidezilla extension catheter as additional backup support was performed.

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