title: The sinister course of an intramural right coronary artery.
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.
authors.affiliation: Bristol Congenital Heart Centre, University Hospitals Bristol NHS Foundation Trust, Upper Maudlin Street, Bristol, United Kingdom.
authors.forename: Deane L S
authors.initials: DL
authors.lastname: Yim
authors.forename: Mark C K
authors.initials: MC
authors.lastname: Hamilton
authors.forename: Robert M R
authors.initials: RM
authors.lastname: Tulloh
mesh_terms: D000293:Adolescent; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed