Symptomatic anomalous right coronary artery originating superior to the left aortic sinus with interarterial course in a young adult. Diagnosis with multislice computed tomographic coronary angiography

2012 ◽  
Vol 13 (2) ◽  
pp. 148-151 ◽  
Author(s):  
Andreas Y. Andreou ◽  
Petros M. Petrou ◽  
Panayiotis C. Avraamides ◽  
George M. Georgiou
Keyword(s):  
Coronary Artery ◽  
Young Adult ◽  
Coronary Angiography ◽  
Right Coronary Artery ◽  
Aortic Sinus ◽  
Computed Tomographic ◽  
Computed Tomographic Coronary Angiography

Coronary angiography and dual-source computed tomography are complementary methods in diagnosis of significant stenosis of the right coronary artery originating from the left aortic sinus

Open Medicine ◽  
2008 ◽  
Vol 3 (1) ◽  
pp. 111-114 ◽  
Author(s):  
Josef Veselka ◽  
David Zemánek ◽  
Radka Duchoňová ◽  
Peter Blaško ◽  
Theodor Adla ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Therapeutic Process ◽  
Aortic Sinus ◽  
Computed Tomographic ◽  
Dual Source ◽  
The Right ◽  
Case Diagnosis ◽  
Dual Source Computed Tomography

AbstractAnomalous origin of the right coronary artery from the contralateral aortic sinus is a rare but potentially fatal congenital abnormality. We analyzed 8.066 consecutive coronary angiograms and found 4 cases demonstrating this anomaly. In 2 cases the right coronary artery was without significant atherosclerotic lesions and coursed between the aorta and pulmonary trunk. In the 2 other cases the right coronary artery was significantly stenosed. In the last case, diagnosis was based on angiographic and dual-source computed tomographic examinations. Dual-source computed tomography showed precisely the origin and course of the right coronary artery between the ascending aorta and pulmonary artery. Moreover, stenoses of the anomalous coronary artery were depicted. Subsequent coronary interventions required modification of the Amplatz left guiding catheter, which enabled a sufficient support even for coronary artery stenting. Both methods seem to be complementary in the diagnostic and therapeutic process of this coronary anomaly.

Sign in / Sign up

Export Citation Format

Share Document