alexa Challenges of Anomalous Coronary Artery Intervention: Case Series and a Review
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
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Case Report

Challenges of Anomalous Coronary Artery Intervention: Case Series and a Review

Timothy G Rabe1, Amol A Bahekar2* and Sameer Arora1,2,3

1Campbell University School of Osteopathic Medicine, Lillington, NC, USA

2Division of Medicine-Cardiology, Cape Fear Valley Medical Center, Fayetteville, USA

3Division of Cardiology, University of North Carolina at Chapel Hill, USA

*Corresponding Author:
Amol A. Bahekar
Division of Interventional Cardiology, Cape Fear Valley Medical Center
Fayetteville Heart Center, Fayetteville, NC 28304, USA
Tel: (910) 484 4100
Fax: (910) 615 5681
E-mail: [email protected]

Received date: April 24, 2017; Accepted date: June 01, 2017; Published date: June 03, 2017

Citation: Rabe TG, Bahekar AA, Arora S (2017) Challenges of Anomalous Coronary Artery Intervention: Case Series and a Review. J Clin Exp Cardiolog 8:525. doi: 10.4172/2155-9880.1000525

Copyright: © 2017 Rabe TG, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Catheter-directed angiography remains the gold standard both for diagnosis and treatment of a coronary artery anomaly (CAA). CAA intervention continues to remains a complicated task even in the hands of experienced operators. The greatest challenges faced in the management of CAAs are delays in identification and difficulty engaging the anomalous coronary artery. Operator experience in promptly identifying the anomaly and selection of the appropriate catheter is critical for successful CAA intervention. We discuss a series of cases where CAAs were encountered during angiography and review the diverse technical difficulties faced by operators during interventions of these congenital anomalies.


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