Primary Percutaneous Coronary Intervention in Anomalous High Anterior Takeoff Right Coronary Artery

One of the important parameters that influence the short and long-term mortality in primary percutaneous coronary intervention (PCI) is door to baloon time. Because culprit lesion is extremely rare anomalous origin of coronary artery and there is no proper catheter for coronary artery cannulation, this period may take longer. Here: the case that is the first in the literature, in which the culprit lesion was high anterior takeoff right coronary artery (RCA) in the patient admitted to hospital with acute inferior myocardial infarction (MI), and in which a successful primary PCI was applied to a rare coronary anomaly with the help of a reshaped left guiding catheter was presented.