Double right coronary artery with anomalous left main and septal arteries originating from the right coronary sinus
Naveen Garg1, P K Goel, Nakul Sinha
1Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow. navgarg@sgpgi.ac.in
Indian Heart Journal
|December 5, 2002
Insights
This case report details a rare coronary artery anomaly where a double right coronary artery and anomalous left main coronary artery originated from the right sinus. Such congenital heart variations are uncommon and often asymptomatic.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Anatomical Variations
Background:
- Coronary artery anomalies (CAAs) are congenital variations in coronary artery anatomy.
- While often asymptomatic, CAAs can be associated with significant cardiovascular events.
- Prevalence in the general population is low, making individual cases noteworthy.
Observation:
- This report describes a unique case involving multiple coronary artery anomalies.
- Specifically, a double right coronary artery (DRCA) was identified.
- Additionally, anomalous origin of the left main coronary artery (LMCA) and the first septal perforator (SP) were noted.
Findings:
- All described anomalies, including the DRCA, anomalous LMCA, and anomalous first SP, originated from the right coronary sinus.
- This specific confluence of anomalies represents a rare anatomical presentation.
- The patient's clinical presentation, though not detailed in the abstract, is often asymptomatic for such variations.
Implications:
- Accurate identification of complex CAAs is crucial for risk stratification and management.
- Understanding these rare origins is important for interventional cardiologists and cardiac surgeons.
- Further research into the clinical significance and long-term outcomes of such complex CAAs is warranted.
Abstract:
Anomalies of the coronary artery are often asymptomatic and are uncommon in the general population. We present a case of a double right coronary artery along with anomalous origin of the left main coronary artery and first septal perforator, all originating from the right coronary sinus.
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