Published: 2022-10-28

Optimizing a diagnostic tool: coronary computed tomography angiography-guided percutaneous coronary intervention of anomalous coronary artery presenting as an acute coronary syndrome

Amar Nath Upadhyay, Barun Kumar


Anomalous coronary artery presenting with acute coronary syndrome is relatively rare. Achilles heel of percutaneous coronary intervention in a such patient is difficult cannulation of the culprit artery. Coronary CT angiography provides detailed information about the origin and course of the anomalous coronary artery. A few additional information like exit angle and orifice configuration provided exclusively by CT helps in appropriate hardware selection for angiographic success.


Acute coronary syndrome, Anomalous origin, Coronary CT angiography

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