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, cilt.53, ss.283-285, 2005 (ESCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 53 Konu: 5
  • Basım Tarihi: 2005
  • Doi Numarası: 10.1007/s11748-005-0043-5
  • Dergi Adı: GENERAL THORACIC AND CARDIOVASCULAR SURGERY
  • Sayfa Sayıları: ss.283-285

Özet

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.