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Post cardiopulmonary resuscitation ‘Bend it like Beckham’ injury of the right coronary artery
  1. Pankaj Jariwala1,
  2. Shanehyder Zaidi2
  1. 1Department of Cardiology, Yashoda Super Specialty Hospitals, Raj Bhavan Road,Somajiguda, Hyderabad, 500082, Telangana, India
  2. 2Depatment of Medicine, KAM Hospitals, Jahanuma, Hyderabad, 500095, Telangana, India
  1. Correspondence to Dr Pankaj Jariwala, Yashoda Super Specialty Hospitals Somajiguda Hyderabad, Hyderabad 500082, India; pankaj_jariwala{at}hotmail.com

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A 65-year-old man, post coronary artery bypass surgery presented with inferior non-ST-segment elevation myocardial infarction. Coronary angiography (CAG) revealed native coronary artery disease with patent saphenous venous grafts to the left anterior descending and obtuse marginal arteries. The non-grafted right coronary artery (RCA) demonstrated critical stenoses (figure 1A).

Figure 1

(A–D) Coronary angiography (CAG) of the non-grafted right coronary artery (RCA) showed critical stenoses of the ostio-proximal (curved arrow; A) and mid-segment (white dashed arrows; A). Percutaneous coronary intervention using two drug-eluting stents restored TIMI III flow after predilatation. (B, C) Repeat CAG demonstrated acute bend of the distal segment of the RCA below the deployed stents with a new stenotic lesion leading to a change …

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Footnotes

  • Twitter @pankajanusha

  • Contributors PJ is consultant Cardiologist who is treating doctor of the patient discused, and responsible for the writing manuscript, collection of the data and final preparation of the article. SZ is a referral physician of the case discussed.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Disclaimer All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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