title: Double right coronary artery; fistula and atherosclerosis: rare combination.
abstract: 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.
authors.affiliation: Cankaya Hospital, Department of Cardiovascular Surgery-CVS, Bulten sok. No. 44, Kavaklidere, Ankara, Turkey.
authors.forename: Adem Grbolar
authors.initials: AG
authors.lastname: Resatoglu
authors.forename: Elamin E
authors.initials: EE
authors.lastname: Elnur
authors.forename: Nuran
authors.initials: N
authors.lastname: Yener
authors.forename: Huda
authors.initials: H
authors.lastname: Elhassan
authors.forename: Ali
authors.initials: A
authors.lastname: Yener
mesh_terms: 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