Article Per Year (5 Year)
p-Index From 2021 - 2026
0.23
P-Index
This Author published in this journals
All Journal The International Journal of Medical Science and Health Research
Pramon Aditya Sudjana
Unknown Affiliation
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

Published : 1 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search

 1 
Challenging Primary PCI in Anomalous Origin of Right Coronary Artery: A Case Report and Literature Review Arini Dwi Azhari; Pramon Aditya Sudjana; Dicky Kurnia Gumilang
The International Journal of Medical Science and Health Research Vol. 15 No. 7 (2025): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/tntdep92

Abstract

Anomalous origin of the coronary artery is quite rare, seen in only 0.2% to 1.2% of cases. The unusual ostium locations create significant challenges in engaging the artery, which can be time-consuming and may delay intervention during acute coronary syndrome (ACS). Herein, we describe a 59-year-old patient who presented with inferior STEMI, high-degree AV block, and cardiogenic shock. The patient underwent primary percutaneous coronary intervention (PCI) after a temporary pacemaker (TPM) had been inserted previously. During angioplasty, we faced difficulties locating the ostium of the right coronary artery (RCA) due to its anomalous position. We successfully cannulated using a 6 Fr EBU 3.5 Guiding Catheter (GC), which revealed total occlusion in the proximal segment. Additionally, we encountered other challenges during the procedure, including a lack of support from the guiding catheter and difficulties in achieving stable coaxial alignment. However, the intervention was successful without any perioperative complications.
Co-Authors Arini Dwi Azhari Dicky Kurnia Gumilang