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The sinister course of an intramural right coronary artery

Published online by Cambridge University Press:  19 July 2011

Deane L. S. Yim ,
Mark C. K. Hamilton  and
Robert M. R. Tulloh
Deane L. S. Yim
Affiliation:
Bristol Congenital Heart Centre, University Hospitals Bristol NHS Foundation Trust, Upper Maudlin Street, Bristol, United Kingdom
Mark C. K. Hamilton
Affiliation:
Department of Clinical Radiology, University Hospitals Bristol NHS Foundation Trust, Upper Maudlin Street, Bristol, United Kingdom
Robert M. R. Tulloh*
Affiliation:
Bristol Congenital Heart Centre, University Hospitals Bristol NHS Foundation Trust, Upper Maudlin Street, Bristol, United Kingdom
*
Correspondence to: Dr R. M. R. Tulloh, DM, FRCP, FRCPCH, Bristol Congenital Heart Centre, University Hospitals Bristol NHS Foundation Trust, Upper Maudlin Street, Bristol BS2 8BJ, United Kingdom. Tel: +44 117 342 8176; Fax: +44 117 342 8857; E-mail: Robert.Tulloh@uhbristol.nhs.uk
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Abstract

We report the case of an adolescent who was presented with long-standing exertional symptoms, and was diagnosed with an anomalous right coronary arterial origin arising above the commissural junction between the left and right aortic sinus, with inter-arterial and intramural compression. The precise origin of this lesion outside the aortic sinuses is unusual, and multi-detector computed tomography gave excellent definition and spatial resolution of the anomalous origin and course. It is crucial to have a high index of suspicion of exertional symptoms, as sudden death may be the first manifestation of an anomalous coronary artery.

Keywords

Anomalous coronarysudden deathopposite sinuscomputed tomography
Type
Brief Reports
Information
Cardiology in the Young , Volume 22 , Issue 2 , 02 March 2012 , pp. 206 - 208
Copyright
Copyright © Cambridge University Press 2011

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