We report a rare percutaneous intervention to the Left Anterior Descending (LAD) and Right Coronary Artery (RCA) bifurcation in a 77 year old with anomalous origin of the RCA from mid LAD and Medina 1,1,1 bifurcation disease. The LAD/RCA bifurcation lesion was successfully treated using Mini crush technique.

Bifurcation lesions in anomalous coronary arteries are rare. Percutaneous intervention in such lesions is challenging and necessitates use of nonstandard hardware like GuideLiner catheter (Vascular Solutions) for adequate access and support.

No abstract