Double Right Coronary Artery; Fistula and Atherosclerosis Rare Combination

Resatoglu A. G., Elnur E. E., YENER N., Elhassan H., Yener A.

GENERAL THORACIC AND CARDIOVASCULAR SURGERY, vol.53, no.5, pp.283-285, 2005 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 53 Issue: 5
  • Publication Date: 2005
  • Doi Number: 10.1007/s11748-005-0043-5
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Emerging Sources Citation Index (ESCI), Scopus, EMBASE, MEDLINE
  • Page Numbers: pp.283-285
  • Hacettepe University Affiliated: Yes


Combination of the primary congenital coronary artery anomalies, fistula and atherosclerosis rarely occur. We report a 50-year-old male who presented with severe chest pain, for which he underwent a coronary angiography. Injection into the right coronary artery (RCA) demonstrated a double RCA running very closely together in the atrioventricular groove. The superior one gave rise to a coronary fistula leading to the right ventricle and the inferior one was atherosclerotic. Both of them terminated as a posterior descending artery. The left system showed occlusion of the left anterior descending and major obtuse marginal. Both were corrected surgically.