DOI: 10.36347/sjmcr.2015.v03i06.032

Pages: 553-555

Advances in techniques and devices have enabled the use of transradial route for percutaneous coronary intervention of chronic total occlusion. However, transradial PCI for anomalously arising coronary arteries represents the most technically challenging cases for interventional cardiologists. In the index case we describe transradial recanalization of a chronic total occlusion of a rare anomalous right coronary artery from the left sinus in a 60 years old male with effort angina.Engaging the ostium of an anomalously arising right coronary artery from left sinus is sometimes the limiting step in the percutaneous intervention of such cases. Published case reports and small case series have predominantly used transfemoral route. Nevertheless the use of transradial route for PCI of anomalously arising right coronary artery from left sinus is feasible and should be considered as the initial approach or as an alternative to transfemoral route.