Successful intervention of an anomalous right coronary artery arising from the posterior left sinus of Valsalva.

Percutaneous coronary intervention (PCI) in an anomalous right coronary artery (RCA) arising from the left sinus of Valsalva can be technically difficult because selective cannulation of the vessel may not be easy. We present a case of two consecutive successful stent implantations in an anomalous RCA arising from the posterior left sinus of Valsalva. We used a Judkins left 5 guiding catheter, which provided excellent angiographic visualization and guide support for stent delivery throughout the procedure.