# Successful Management of Anomalous Lipton R-III Right Coronary Artery Chronic Total Occlusion

## TL;DR

A 64-year-old man with a rare coronary artery anomaly and a blocked artery was successfully treated with a heart procedure.

## Contribution

The paper presents a successful case of PCI in a patient with a rare Lipton R-III coronary anomaly and CTO.

## Key findings

- The patient had a proximal right coronary artery chronic total occlusion.
- The coronary anomaly was of the Lipton R-III type, with both arteries arising from the right single sinus.
- The condition was successfully managed through percutaneous coronary intervention.

## Abstract

Chronic total occlusion (CTO) of the coronary artery is a subset where cardiologists confront technical challenges most of the time during percutaneous coronary intervention (PCI). A congenital coronary anomaly is considered a critical challenge, especially when accompanied by CTO lesions. We report a case of a 64-year-old hypertensive and chronic smoker male who presented to our tertiary care center with chief complaints of Canadian Cardiovascular Society II angina. Coronary angiography revealed proximal right coronary artery CTO in a patient with an anomalous origin of coronary arteries arising from the right single sinus “Lipton R-III” which was managed successfully through PCI.