Split Right Coronary Artery With Sinister Intra-Atrial Course of Posterior Trunk

We report the case of a 79-year-old male with atypical chest pain where electrocardiogram-gated coronary computed tomography angiography (CTA) demonstrated a split right coronary artery with an intra-atrial course of the posterior trunk. This case highlights the clinical implications of the rare anomaly and the importance of coronary CTA in detecting this unusual variant, which will be missed even on invasive coronary angiography.

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Publication Details

Journal
Methodist DeBakey Cardiovascular Journal
Published
2025-01-01
DOI
https://doi.org/10.14797/mdcvj.1730
Primary Topic
Coronary Artery Anomalies
Type
article
Field-Weighted Citation Impact
0.00
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article

Split Right Coronary Artery With Sinister Intra-Atrial Course of Posterior Trunk

Niraj Nirmal Pandey, Vineeta Ojha, Damandeep Singh, Sourabh Agstam
Methodist DeBakey Cardiovascular Journal
Coronary Artery Anomalies
article

Split Right Coronary Artery With Sinister Intra-Atrial Course of Posterior Trunk

Niraj Nirmal Pandey, Vineeta Ojha, Damandeep Singh, Sourabh Agstam
article en

Abstract

We report the case of a 79-year-old male with atypical chest pain where electrocardiogram-gated coronary computed tomography angiography (CTA) demonstrated a split right coronary artery with an intra-atrial course of the posterior trunk. This case highlights the clinical implications of the rare anomaly and the importance of coronary CTA in detecting this unusual variant, which will be missed even on invasive coronary angiography.

Methodist DeBakey Cardiovascular JournalVol. 21(1)
All India Institute of Medical Sciences (IN)
Openalex Percentile: Top 41%
Coronary Artery Anomalies
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