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04:40

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Published on: August 28, 2018

Diagnosis of variants of single right coronary trunk using 64 multidetector computed tomography

Ashley E Kempf1, Farhood Saremi

  • 1Department of Radiological Sciences, UCI, Medical Center, Orange, CA.

Journal of Radiology Case Reports
|April 4, 2012
PubMed

Insights

Single coronary artery anomalies are rare but increasingly diagnosed with CT angiography. This report details two unique cases of a single right coronary trunk with varied left coronary artery courses.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Anatomical Variants

Background:

  • Single coronary artery anomalies represent rare variations in coronary anatomy.
  • Advances in coronary CT angiography (CCTA) have led to increased detection rates of these anomalies.

Purpose of the Study:

  • To report two distinct cases of single right coronary trunk.
  • To illustrate the varied anatomical pathways of the left coronary artery originating from a single right coronary trunk.

Main Methods:

  • Case report review.
  • Analysis of coronary CT angiography findings.

Main Results:

  • Two patients presented with a single right coronary trunk.
  • Case 1: Left coronary artery coursed anterior to the main pulmonary artery.
  • Case 2: Left coronary artery coursed between the main pulmonary artery and ascending aorta, then within the interventricular septum.

Conclusions:

  • Single coronary anomalies, particularly single right coronary trunk, require detailed anatomical description.
  • Varied anatomical courses of the left coronary artery from a single right coronary trunk can occur.
  • Accurate diagnosis via CCTA is crucial for understanding and managing these rare coronary variants.

Keywords:
Coronary artery anomaliescardiac CTchest paincoronary CTcoronary angiography

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