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Case report
Novel approach to engage left main coronary artery in aneurysmally dilated aortic root
  1. Abhishek Goyal,
  2. Naved Aslam,
  3. Bishav Mohan and
  4. Gurpreet Singh Wander
  1. Department of Cardiology, Dayanand Medical College and Hospital, Ludhiana, India
  1. Correspondence to Dr Abhishek Goyal; drabhishekgoyal11{at}yahoo.in

Abstract

Aneurysmally dilated aortic route pose a considerable challenge in invasive coronary angiography (CAG) using routine workhorse catheters. Often one has to resort to either CT CAG which is not possible in all cases or use other techniques described in literature which may be technically challenging. We report a novel technique using multipurpose-1 (MPA-1) catheter. By applying gentle pressure, MPA-1 can be shaped to conform to aortic root anatomy by forming a primary and secondary loop. This makes engagement of left main ostium easy and atraumatic.

  • cardiovascular system
  • interventional cardiology
  • valvar diseases

https://doi.org/10.1136/bcr-2020-239804

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    Footnotes

    • Contributors AG: conception and design, acquisition of data or analysis and interpretation of data; drafting the article or revising it critically for important intellectual content; final approval of the version published; agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. NA: conception and design, acquisition of data or analysis and interpretation of data; drafting the article or revising it critically for important intellectual content; final approval of the version published; agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. BM: conception and design, acquisition of data or analysis and interpretation of data Drafting the article or revising it critically for important intellectual content; final approval of the version published. GSW: conception and design, acquisition of data or analysis and interpretation of data; drafting the article or revising it critically for important intellectual content; final approval of the version published; agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

    • 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.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

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