Percutaneous coronary intervention of the right ventricular artery: is it worth the effort?

Loss of the right ventricular artery (RVA) is generally thought to be of little consequence. Nonetheless, reperfusion can enhance right ventricular recovery and improve the clinical condition.
Five cases of percutaneous coronary intervention involving right ventricular branches are presented.
We advocate a more positive approach to a significant stenosis in the RVA in patients who have stable or unstable angina or non-ST segment elevation myocardial infarction. Re-establishment of flow should limit ischaemia and infarction of the right ventricle and limit their adverse effects.