Thorac Cardiovasc Surg 2009; 57(07): 424-426
DOI: 10.1055/s-0029-1185338
Short Communications

Right Coronary Artery Arising from the Pulmonary Trunk

M. Baskurt
Institution of Cardiology, Istanbul University, Istanbul, Turkey
,
A. Yldz
Cardiology, TDV 29 May?s Hospital, istanbul, Turkey
,
I. M. Caglar
Institution of Cardiology, Istanbul University, Istanbul, Turkey
,
K. Klckesmez
Institution of Cardiology, Istanbul University, Istanbul, Turkey
,
B. Okcun
Institution of Cardiology, Istanbul University, Istanbul, Turkey
,
A. A. Ozkan
Institution of Cardiology, Istanbul University, Istanbul, Turkey
,
M. Ersanl
Institution of Cardiology, Istanbul University, Istanbul, Turkey
,
T. Gurmen
Institution of Cardiology, Istanbul University, Istanbul, Turkey
› Author Affiliations

Abstract

The prevalence of coronary artery anomalies is reported to be around 0.3?1?%. An anomalous origin of the right coronary artery (RCA) is a rare condition but may lead to myocardial ischemia and sudden death. Diagnosis is mainly made by conventional coronary arteriography. Nowadays, multislice computed tomography is a new noninvasive imaging technique with excellent spatial resolution which can detect the origin and course of an anomalous coronary vessel. Here we report on a 67-year-old woman with an anomalous origin of the RCA arising from the pulmonary trunk. The anomaly was diagnosed by cardiac catheterization and confirmed by multislice computed tomography.



Publication History

Received: 20 October 2008

Publication Date:
30 September 2009 (online)

Georg Thieme Verlag KG Stuttgart New York

 
  • References

  • Waite S, Ng T, Afari A, Gohari A, Lowery R. CT diagnosis of isolated anomalous origin of the RCA arising from the main pulmonary artery.. J Thorac Imaging 2008; 23: 145-147
  • Vairo U, Marina B, De Simone G, Marceletti C. Early congestive heart failure due to origin of the right coronary artery from the pulmonary artery.. Chest 1992; 102: 1610-1612
  • Capuano C, Sesana M, Capuano F, Leonzi O, Cuccia C, Troise G. Right coronary artery arising from the pulmonary trunk.. Cardiovasc Revasc Med 2007; 8: 76-79
  • Luciani GB, Vendrametto F, Barozzi L, Oberhollenzer R, Pitscheider W, Mazzucco A. Repair of anomalous right and circumflex coronary arteries arising from the pulmonary artery.. J Thorac Cardiovasc Surg 2006; 132: 970-972
  • Williams IA, Gersony WM, Hellenbrand WE. Anomalous right coronary artery arising from the pulmonary artery: a report of 7 cases and a review of the literature.. Am Heart J 2006; 152: e9-e17
  • Radke PW, Messmer BJ, Haager PK, Klues HG. Anomalous origin of the right coronary artery: preoperative and postoperative hemodynamics.. Ann Thorac Surg 1998; 66: 1444-1449
  • Vijitbenjaronk P, Glancy DL, Ferguson TB, Tan CW, Helmcke FR. Right coronary artery arising from the pulmonary trunk in a 63-year-old man.. Catheter Cardiovasc Interv 2002; 57: 545-547
  • Ichikawa M, Sato Y, Komatsu S, Hirayama A, Kodama K, Saito S. Multislice computed tomographic findings of the anomalous origins of the right coronary artery: evaluation of possible causes of myocardial ischemia.. Int J Cardiovasc Imaging 2007; 23: 353-360
  • Sato Y, Inoue F, Kunimasa T, Matsumoto N, Yoda S, Tani S. et al Diagnosis of anomalous origin of the right coronary artery using multislice computed tomography: evaluation of possible causes of myocardial ischemia.. Heart Vessels 2005; 20: 298-300