Coronary angioplasty of anomalous right coronary artery originating from the left sinus of Valsalva

Coronary angioplasty of an anomalous coronary artery can be technically challenging because of difficulty in cannulating the aberrant vessel and in obtaining a stable guiding catheter position. Only three cases with the right coronary artery originating from the left sinus of Valsalva were previously reported. We present a new case in which a successful angioplasty was obtained using a Williams LR guiding catheter.