Percutaneous coronary intervention in patients with acute myocardial infarction due to congenital coronary anomalies: Technical skills and clinical outcome
“…However, in the setting of ACS, it may not be feasible. There are few reports on PCI in AOCCA of ACS-patients [3,4,7] and apart from one series of 5 culprit AOCCA's in ACS-patients [8], there is no systematic study of patients who underwent PCI of AOCCA, especially in emergency cases.…”
The most frequently encountered AOCCA is LCx branching-off from RCA. AOCCA may either be difficult to cannulate and PCI aborted even in STEMI, or missed, especially when the intermediate branch from LCA is mimicking proper LCx.
“…However, in the setting of ACS, it may not be feasible. There are few reports on PCI in AOCCA of ACS-patients [3,4,7] and apart from one series of 5 culprit AOCCA's in ACS-patients [8], there is no systematic study of patients who underwent PCI of AOCCA, especially in emergency cases.…”
The most frequently encountered AOCCA is LCx branching-off from RCA. AOCCA may either be difficult to cannulate and PCI aborted even in STEMI, or missed, especially when the intermediate branch from LCA is mimicking proper LCx.
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