Double right coronary artery; fistula and atherosclerosis: rare combination.
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.
Resatoglu
Adem Grbolar
AG
Cankaya Hospital, Department of Cardiovascular Surgery-CVS, Bulten sok. No. 44, Kavaklidere, Ankara, Turkey.
Elnur
Elamin E
EE
Yener
Nuran
N
Elhassan
Huda
H
Yener
Ali
A
D015897:Comorbidity; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000453:epidemiology*; D003330:Coronary Vessel Anomalies / Q000453:epidemiology*; D005402:Fistula / Q000453:epidemiology*; D006331:Heart Diseases / Q000453:epidemiology*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged