Anomalous intracavitary right coronary artery shown by cardiac CT: a potential hazard to be aware of before various interventions.
Intracavitary right coronary arteries (RCAs) are uncommon (incidence of 0.09%-0.1%), having previously been reported nearly exclusively in autopsy series. However, more recently this entity has been detected prospectively by noninvasive cardiac computed tomography. Because many interventional procedures, including pacemaker placement and atrial flutter ablation, may be influenced by the presence of an intracavitary RCA, this entity is important to recognize. We report two cases of intracavitary right coronary artery discovered prospectively by cardiac computed tomography. In one of these cases, interventional management was altered based on our findings.
Zalamea
Roderick M
RM
Department of Radiology, Clinical Cardiac Electrophysiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1088, USA. rmzalamea@yahoo.com
Entrikin
Daniel W
DW
Wannenburg
Thomas
T
Carr
J Jeffrey
JJ
D000368:Aged; D017023:Coronary Angiography / Q000379:methods*; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014656:Vascular Surgical Procedures / Q000009:adverse effects*