Multivessel percutaneous coronary intervention with bifurcation stenting in a quadfurcated single coronary artery from the right aortic sinus: a case report

Mohammed Al Jarallah; Rajesh Rajan; Vladimir Kotevski; Raja Dashti; Wagdy Moustafa

doi:10.1093/ehjcr/ytz197

Multivessel percutaneous coronary intervention with bifurcation stenting in a quadfurcated single coronary artery from the right aortic sinus: a case report

Eur Heart J Case Rep. 2019 Nov 7;3(4):1-4. doi: 10.1093/ehjcr/ytz197. eCollection 2019 Dec.

Authors

Mohammed Al Jarallah¹, Rajesh Rajan¹, Vladimir Kotevski¹, Raja Dashti¹, Wagdy Moustafa²

Affiliations

¹ Department of Cardiology, Sabah Al Ahmad Cardiac Center, Al-Amiri Hospital, Gulf Road, Sharq, Kuwait City 13001, Kuwait.
² Department of Radiology, Chest Disease Hospital, Gulf Road, Sharq, Kuwait City 13001, Kuwait.

Abstract

Background: Quadfurcation of single coronary artery (SCA) from the right is an extremely rare anomaly and acute coronary syndrome in such patients is catastrophic.

Case summary: We report a 56-year-old Bangladeshi male who presented with an acute inferior wall ST-elevation myocardial infarction. He was taken to the Cath lab for primary percutaneous coronary intervention which showed the presence of SCA arising from the right aortic sinus with multiple lesions including a bifurcation lesion. Percutaneous coronary intervention was done successfully in two sessions.

Discussion: Tackling multiple lesions in a case of SCA with quadfurcation was challenging especially in the setting of SCA and bifurcation lesions. This is first reported case of this kind.

Keywords: Percutaneous coronary intervention; Case report; Quadfurcation; ST-elevation myocardial infarction; Single coronary artery; Trishul.

Publication types

Case Reports