PMID: 15240972Jul 9, 2004Paper

Single coronary artery with anomalous origin of the right coronary artery from the left anterior descending artery with a unique proximal course

Japanese Heart Journal
Basri AmasyaliErsoy Isik

Abstract

A 62-year-old man with hypertension and hypercholesterolemia was referred to our unit for evaluation of chest pain. A very rare variant of single coronary artery, in which the anomalous right coronary artery originated as a separate branch from the left anterior descending artery, was incidentally found on his coronary angiography. The anomalous right coronary artery in our case appears to be unique in that it courses intraseptally rather than rightwards proximally and has obstructive atherosclerotic lesions resulting in inferior ischemia. Moreover, the acute angle made by the anomalous right coronary artery to turn toward the atrioventricular groove may have reduced the flow velocity and contributed to the development of inferior ischemia.

References

Sep 1, 1990·Catheterization and Cardiovascular Diagnosis·O Yamanaka, R E Hobbs
Jan 1, 1983·Catheterization and Cardiovascular Diagnosis·S N HusainiR D Lach
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Citations

Apr 1, 2010·Surgical and Radiologic Anatomy : SRA·Andreas Y AndreouGeorge M Georgiou
Feb 24, 2007·Forensic Science International : Synergy·Annette ThieraufBurkhard Madea
Jan 24, 2007·Journal of Cardiovascular Electrophysiology·Petr NeuzilVivek Y Reddy
May 9, 2015·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Prakash SuryanarayanaKapildeo Lotun
Aug 5, 2011·Journal of Cardiovascular Disease Research·R KalyaniJ Kiran
Jan 6, 2018·BMJ Case Reports·Santosh Kumar SinhaRamesh Thakur

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