PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY FOR CULPRIT LESIONS INPATIENTS WITH POST MYOCARDIAL-INFARCTION ANGINA BASED ON DEXTROCARDIAAND ANOMALOUS CORONARY-ARTERIES - CASE-REPORTS AND METHODS

Four cases of successful coronary angioplasty for anomalous coronary a rteries, including dextrocardia associated with three-vessel disease, single left coronary artery with proximal left anterior descending les ion, anomalous right coronary artery (RCA) from adjacent left coronary sinus of Valsalva associated with proximal RCA lesion, and anomalous left circumflex angulated lesion bifurcated from the RCA, were encount ered. Four cases with 8 target lesions who had a mean age of 63.5 +/- 11.5 years old are presented. All the targets lesions were completely dilated through balloon angioplasty, including use of a newly develope d support device for cases with large jeopardized myocardium. The fact ors for complete revascularization were appropriate selection of cathe ters and originality and ingenuity of procedural technique based on th e anatomic characteristics.