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Extreme coronary artery tortuosity in association with tortuosity of the systemic arteries: a rare and challenging situation for the interventionist
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  1. Pritesh Parekh,
  2. Navin Agrawal,
  3. Apurva Vasavada,
  4. Mahesh Vinchurkar
  1. Department of Cardiovascular Sciences Care Hospital, Surat, Gujarat, India
  1. Correspondence to Dr Navin Agrawal, drnavinagrawal{at}gmail.com

https://doi.org/10.1136/bcr-2014-204725

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    Description

    Coronary tortuosity is conventionally defined as two or more consecutive 180° turns in a major epicardial artery assessed by visual estimation. It is a relatively uncommon finding during diagnostic angiograms and the presence of multiple tortuous segments is very rare and presents an interesting angiographic image.1

    We present an interesting angiographic image of an incidentally detected excessive coronary artery tortuosity in a middle-aged woman who presented to us for a diagnostic angiogram for the evaluation of atypical chest pain. The exercise ECG stress test was positive for inducible ischaemia. The patient was taken up for angiogram from …

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