Malignant Course of Right Coronary Artery
Piyush G. Kalantri *
Department of Cardiology, Grant Government Medical College and Sir JJ Group of Hospitals Mumbai, India.
Mahesh Bodkhe
Department of Cardiology, Grant Government Medical College and Sir JJ Group of Hospitals Mumbai, India.
Rahul Singla
Department of Cardiology, Grant Government Medical College and Sir JJ Group of Hospitals Mumbai, India.
Narender Omprakash Bansal
Department of Cardiology, Grant Government Medical College and Sir JJ Group of Hospitals Mumbai, India.
*Author to whom correspondence should be addressed.
Abstract
Anomalous origin of a coronary artery is uncommon but clinically significant. Manifestations vary from asymptomatic patients to those who present with angina pectoris, myocardial infarction, syncope, arrhythmias, and sudden cardiac death. We herein describe a rare case of an anomalous origin of the RCA with malignant course between aorta and pulmonary artery. Angiography is invasive, have a relatively low cannulation success rate. Therefore, CT coronary angiography is the best method for imaging. Sudden death without symptoms occurs frequently in patients with anomalous RCAs, so surgical repair is recommended.
Keywords: Anomalous coronary artery, malignant course of RCA, CT coronary angiography.