Percutaneous Transluminal Coronary Angioplasty of an Anomalous Right Coronary Artery Arising from a Separate Ostium in the Left Sinus of Valsalva

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Abstract
The authors describe a case of angioplasty in an anomalous right coronary artery arising from an aberrant ostium in the left sinus of Valsalva anterior and slightly superior to the ostium of the left main coronary artery. The patient also had associated bicuspid aortic valve. To the best of their knowledge, this is the first case of angioplasty in an aberrant right coronary artery originating from an ectopic ostium. The choice of guiding catheter and balloon angioplasty catheter is discussed.