Double right coronary artery in an elderly patient

Yalta K., YILMAZ A., TURGUT O. O., YILMAZ M. B.

Turk Kardiyoloji Dernegi Arsivi, cilt.35, sa.8, ss.492-494, 2007 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 35 Sayı: 8
  • Basım Tarihi: 2007
  • Dergi Adı: Turk Kardiyoloji Dernegi Arsivi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.492-494
  • Anahtar Kelimeler: Coronary angiography, Coronary vessel anomalies
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Coronary artery anomalies are encountered in less than 1% of patients undergoing coronary angiography. Among these, double right coronary artery (RCA) is extremely uncommon, and to our knowledge, only nine cases have been reported. A 73-year-old man was admitted with acute anterior myocardial infarction. Coronary angiography revealed TIMI 2 flow in the left anterior descending coronary artery distal to a severe proximal stenosis (90%). The circumflex artery was normal. The right coronary arteriography demonstrated double RCA without an atherosclerotic lesion, each arising from a separate ostium. Both coursed along the atrioventricular groove and terminated by giving off individual posterior descending arteries. The patient underwent emergent coronary bypass surgery and recovered within a week.