Physiologic Evaluation of Anomalous Right Coronary Artery Stenosis

Seoul National University Hospital36 enrolled

Overview

The anomalous origin of right coronary artery (RCA) is a rare coronary anomaly. Recently, the detection of this anomaly has been more frequent as the use of cardiac multidetector computed tomography has become more popular. It can cause myocardial ischemia, syncope and sudden cardiac death. Surgical repair is generally recommended for symptomatic patients. However, there is controversy concerning the proper evaluation and treatment strategy for patients without documented myocardial ischemia. The stenotic lesion of anomalous origin of RCA will be assessed by fractional flow reserve (FFR).

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Coronary Vessel Anomalies

Interventions

revascularizationPROCEDURE

surgery or stenting

Eligibility

Sex: ALLMin age: 20 YearsMax age: 85 Years

Medical Language ↔ Plain English

Inclusion Criteria: * patients diagnosed as anomalous origin of right coronary artery from left coronary cusp Exclusion Criteria: * poor compliance * need for percutaneous coronary intervention to significant coronary lesion * failure of FFR for anomalous origin of right coronary artery

Locations (1)

Seoul National University Hospital

Seoul, South Korea

Outcomes

Primary Outcomes

cardiac death

Time frame: 12 months

Data from ClinicalTrials.gov

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