Shepherd’s crook deformity of right coronary artery is a unique condition of dramatic upturn with a near 180ºC switchback
turn. It is a challenge for interventionist to perform percutaneous coronary intervention in case of severe tortuous
artery with atherosclerosis. Many tips, techniques and devices have been developed to overcome technical issues. We
present an interesting case of 64-year-old male with extreme tortuosity of RCA who had difficulty in assessing the lesion
Tortuosity, Atherosclerosis, Percutaneous coronary intervention, Shepherd’s crook, Fractional flow reserve.