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Successful coronary intervention of chronic total occlusion of the right coronary artery by ipsilateral injection via an isolated conus artery

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Abstract

A conus artery is sometimes a good collateral source for the left anterior descending coronary artery and the right coronary artery (RCA). In some cases, the conus artery arises independently of the RCA from a separate orifice, which is called an isolated conus artery. The conus artery is often missed by angiography for RCA if a catheter is deeply engaged. This case report describes a percutaneous coronary intervention of chronic total occlusion of the proximal RCA with good collateral circulation from an isolated conus artery by super-selective ipsilateral injection via the artery.

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Authors and Affiliations

  1. Division of Cardiology, Department of Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan

    Takahide Arai, Akio Kawamura, Shinsuke Yuasa, Yuichiro Maekawa & Keiichi Fukuda

Authors
  1. Takahide Arai
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  2. Akio Kawamura
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  3. Shinsuke Yuasa
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  4. Yuichiro Maekawa
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  5. Keiichi Fukuda
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Correspondence to Takahide Arai.

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Arai, T., Kawamura, A., Yuasa, S. et al. Successful coronary intervention of chronic total occlusion of the right coronary artery by ipsilateral injection via an isolated conus artery. Heart Vessels 27, 327–330 (2012). https://doi.org/10.1007/s00380-011-0170-0

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  • DOI: https://doi.org/10.1007/s00380-011-0170-0

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