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A case of double right coronary artery with bifurcation stenosis in association with complete heart block

A K Singh1, A K Pandey

  • 1Interventional cardiologist, Heritage Hospital, Varanasi, India.

Journal of Cardiovascular Disease Research
|August 28, 2012
PubMed

Insights

A rare double right coronary artery (RCA) anomaly was found with bifurcation stenosis and complete heart block (CHB). This unique combination in a single patient has not been previously documented in medical literature.

Area of Science:

  • Cardiology
  • Anatomical Pathology
  • Medical Imaging

Background:

  • Congenital coronary artery anomalies are typically incidental findings.
  • Double right coronary artery (RCA) is a rare anomaly.
  • Degenerative complete heart block (CHB) affects cardiac conduction.

Observation:

  • A patient presented with a rare double right coronary artery (RCA).
  • The anomaly was associated with stenosis at the bifurcation of the double RCA.
  • The patient also had degenerative complete heart block (CHB).

Findings:

  • This case presents a unique combination of double RCA and degenerative CHB.
  • Bifurcation stenosis was noted within the double RCA.
  • This specific co-occurrence has not been previously reported.

Implications:

  • Highlights the importance of recognizing rare coronary anomalies.
  • Suggests potential links between coronary anatomy and conduction defects.
  • May influence diagnostic and treatment strategies for patients with complex cardiac conditions.

Keywords:
Bifurcation stenosiscomplete heart blockcongenital coronary artery anomalies

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