PMC7987412_01
Coronary angiogram images.
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fig1
He later consented to CAG that was performed by right radial approach using "Tiger catheter." An injection into the left sinus of Valsalva did not reveal the ostium of left coronary artery (LCA), but when the right coronary ostium was hooked with the same catheter, it revealed a single coronary artery arising from the right cusp (Figure 1).
(a) Post-PCI image of RCA showing coronary spasm just proximal to RCA stent after postdilatation. (b) Post-PCI angiogram of LCX. (c) Coronary computed tomography angiography done prior to discharge, delineating the origin and the course of the anomalous artery and patent stents. PCI: percutaneous coronary interventions; RCA: right coronary artery; LCX: left circumflex artery.
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fig2
After postdilatation, the patient developed severe coronary spasm just proximal to the stent margin (Figure 2). Post PCI with stenting, thrombolysis in myocardial infarction (TIMI) grade 3 flow was achieved in all three vessels (RCA, PLV, and LCX); the post-PCI angiogram of LCX is shown in Figure 2(b). Before discharge, he underwent coronary computed tomography angiography (CCTA) which delineated the single coronary artery, its ostium, and the path of three coronary arteries (Figure 2(c)).