CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2011; 21(01): 57-59
DOI: 10.4103/0971-3026.76057
Cardiac

Case report: Intra-atrial course of right coronary artery: Evaluation by dual-source CT

Johann Christopher
Department of Cardiology, CARE Hospital, Hyderabad, India
,
Chary Duraikannu
Department of Radiology, CARE Hospital, Hyderabad, India
› Author Affiliations

Abstract

We report a case of an anomalous course of the right coronary artery (RCA) through the right atrium, which was evaluated using dual-source CT angiography. There have been a few cases described previously in literature, but most of them were found either during surgery or at autopsy. Although this variant is clinically benign, it has significant consequences during interventional procedures or bypass surgery.



Publication History

Article published online:
31 July 2021

© 2011. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Zalamea RM, Entrikin DW, Wannenburg T, Carr JJ. Anomalous intracavitary right coronary artery shown by cardiac CT: a potential hazard to be aware of before various interventions. J Cardiovasc comput Tomogr 2009;3:57-61.
  • 2 Andrade JG, Heilbron BG, Leipsic JA. Intracavitary right coronary artery. Can J Cardiol 2010;26:211-2.
  • 3 Scheffel H, Vetter W, Alkadhi H. Intra-atrial course of the right coronary artery: a previously missed anomaly. Eur Heart J 2007;28:1919.
  • 4 Jalal A, Shackcloth M, Dimhis WC. Anomalous course of the right coronary artery in the right atrial wall: a word of caution. Heart surg forum 2002;5:300-1.
  • 5 Tovar E, Borsari A, Landa D, Weinstein P, Gazzamiga A. Ventriculotomy repair during revascularization of intracavitary anterior descending coronary arteries. Ann Thor Surg 1997;64:1194-6.
  • 6 Rosamond T, Wetzel LH, Lakkireddy D, Ferrell R, Tadros P. Intracameral right coronary artery: detection by 64 slice coronary computed tomographic angiography and implications for radiofrequency ablation of atrial dysarhythmias. Pacing Clin Electrophysiol 2007;30:1571-4.