Anomalous right coronary artery originating from the opposite sinus of Valsalva: Fractional flow reserve and intravascular ultrasound-guided management

Arushi Singh; Robert Donnino; Adam Small; Sripal Bangalore

doi:10.1002/ccd.30839

Anomalous right coronary artery originating from the opposite sinus of Valsalva: Fractional flow reserve and intravascular ultrasound-guided management

Catheter Cardiovasc Interv. 2023 Nov;102(5):892-895. doi: 10.1002/ccd.30839. Epub 2023 Sep 19.

Authors

Arushi Singh¹, Robert Donnino^{1

2

3}, Adam Small¹, Sripal Bangalore¹

Affiliations

¹ Leon H. Charney Division of Cardiology, New York University Grossman School of Medicine, New York, New York, USA.
² Division of Cardiology, Veteran Affairs, Manhattan Campus, New York, New York, USA.
³ Department of Radiology, NYU Grossman School of Medicine, New York, New York, USA.

PMID: 37724846
DOI: 10.1002/ccd.30839

Abstract

There remains significant controversy in the risk stratification and management of patients with anomalous right coronary artery originating from the opposite sinus (R-ACAOS). We present the case of a patient with an inferior ST-elevation myocardial infarction, found to have R-ACAOS and severe atherosclerotic right coronary artery disease, treated with fractional flow reserve and intravascular ultrasound-guided percutaneous coronary intervention.

Keywords: IVUS; R-ACAOS; anomalous coronary artery; fractional flow reserve.

Publication types

Case Reports

MeSH terms

Coronary Angiography
Coronary Artery Disease* / diagnostic imaging
Coronary Artery Disease* / therapy
Coronary Vessel Anomalies* / diagnostic imaging
Coronary Vessel Anomalies* / therapy
Fractional Flow Reserve, Myocardial*
Humans
Retrospective Studies
Sinus of Valsalva* / abnormalities
Sinus of Valsalva* / diagnostic imaging
Treatment Outcome
Ultrasonography, Interventional