Successful Retrograde Recanalization of a Very Rare Anomalous Origin Right Coronary Artery Chronic Total OcclusionGasparini GL1*, Oreglia JA2, and Reimers B1
- *Corresponding Author:
- Gasparini GL
Department of Invasive Cardiology, Instituto Clinico Humanitas
Via Manzoni 56, 20089 Rozzano (Milan), Italy
E-mail: [email protected]
Received Date: February 16, 2017; Accepted Date: March 16, 2017; Published Date: March 21, 2017
Citation: Gasparini GL, Oreglia JA, Reimers B (2017) Successful Retrograde Recanalization of a Very Rare Anomalous Origin Right Coronary Artery Chronic Total Occlusion. J Cardiovasc Dis Diagn 5:263. doi: 10.4172/2329-9517.1000263
Copyright: © 2017 Gasparini GL, 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.
Chronic total coronary occlusions (CTO) still remain one of the most technically challenging clinical scenarios in which to perform interventions. Although the antegrade approach is the most common method of CTO recanalization, a retrograde attempt improves the success rate and its usage has been increasingly adopted in the recent years. Furthermore, abnormalities such as anomalous origin coronary arteries represent other important technically challenging cases for interventional cardiologist. In this case, we describe a rare case of a CTO in the mid portion of an anomalous right coronary artery (RCA), that originated from a high anterior takeoff and progressed in the downward direction, where retrograde approach has been used to overcome the absence of antegrade guiding catheter support.