To date, technical experience reported in the literature is very limit
ed on angioplasty in patients with anomalous coronary arteries. Balloo
n angioplasty may be a more favorable approach for revascularization i
n these vessels. A major factor is selection of the guiding catheter.
The authors report 4 patients with severe atherosclerotic lesions of a
nomalous coronary arteries who underwent coronary angioplasty of the a
nomalous vessel. Three patients had an anomalous circumflex artery and
1 had an anomalous right coronary artery. Angiographic and clinical s
uccess were achieved in 3 patients.