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Updated: May 23, 2025

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Intra-atrial Course of Right Coronary Artery: A Rare Anomaly Detected on Computed Tomography

Archita Mahajan1, Mansi Verma1, Sumala Kapila1

  • 1Indira Gandhi Medical College, Shimla, India.

Methodist Debakey Cardiovascular Journal
|March 10, 2025
PubMed

Insights

A rare case of atypical chest pain revealed an unusual right coronary artery (RCA) path within the heart's atrium. Recognizing this anatomical variation is crucial to prevent fatal surgical complications.

Area of Science:

  • Cardiology
  • Anatomical Variations
  • Medical Imaging

Background:

  • Atypical chest pain can indicate various cardiac conditions.
  • Anatomical variations of coronary arteries are uncommon but clinically significant.

Purpose of the Study:

  • To report a unique case of intracavitary right coronary artery.
  • To highlight the clinical importance of identifying this anomaly.

Main Methods:

  • Case report of a 59-year-old male patient.
  • Diagnostic imaging using computed tomography (CT).

Main Results:

  • Computed tomography revealed an intracavitary course of the right coronary artery.
  • The patient presented with intermittent atypical chest pain.

Conclusions:

  • Intracavitary course of the right coronary artery is a rare finding.
  • Accurate identification is vital to avoid iatrogenic injury during cardiac procedures.

Keywords:
anomalycoronaryintra-atrial course

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