Left Anterior Descending Artery to Right Coronary Artery Bifurcation Stenting With Culotte Technique in Acute Inferior Myocardial Infarction

Abstract

Coronary artery anomalies are defined as abnormal origin, course, or termination of any of the three main epicardial coronary arteries. These anomalies are typically asymptomatic and are often discovered incidentally. However, certain anomalies may be associated with an increased risk of myocardial infarction, syncope, ventricular arrhythmias, and exercise-induced sudden cardiac death. A single coronary artery anomaly is a very rare form of coronary artery anomaly and typically supplies a large myocardial perfusion area. Here, we describe an extremely rare case of a single coronary artery anomaly in which the right coronary artery (RCA) originates from the mid-segment of the left anterior descending (LAD) coronary artery. The patient presented with acute inferior myocardial infarction and underwent LAD/RCA bifurcation stenting using the Culotte technique.