Collateral circulation via a rare, anomalously arising right ventricular branch.
Variations in coronary anatomy are not uncommon. They are usually benign, but can be a cause of confusion to the angiographer and in most situations, have no clinical significance. In this report, we present an unusual case of a chronically occluded proximal right coronary artery with an anomalous separate right ventricular branch arising directly from the aortic root and serving as a large collateral to the area beyond the occlusion. To our knowledge, this is the first of such anatomic variations being reported.
Kumar
Anil
A
Department of Medicine, Sound Shore of Westchester, New York Medical College, New Rochelle, New York, USA.
Murtaza
Mohammed
M
Yazdanfar
Shahriar
S
D000368:Aged; D001022:Aortic Valve Insufficiency; D001024:Aortic Valve Stenosis / Q000473:pathology*; D003097:Collateral Circulation; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000473:pathology; D003330:Coronary Vessel Anomalies / Q000473:pathology*; D003331:Coronary Vessels / Q000473:pathology*; D006352:Heart Ventricles / Q000473:pathology*; D006801:Humans; D008297:Male