title: Unusual origin for the right coronary artery: one center's observations on diagnosis and treatment.
abstract: Right coronary arteries that originate from the left Sinus of Valsalva and course intramurally along the aortic wall in their proximal position are a variant of anomalous coronary arteries that can be associated with ischemic symptoms. Stenting of the proximal portion of these right coronary arteries along the intramural course can improve symptoms in those who clearly have anatomic distortion of the proximal artery. Long-term outcomes and durability of this approach when applied to symptomatic patients is unknown and future work with follow up IVUS is needed.
authors.affiliation: Penn State University, Division of Cardiology, College of Medicine, Heart & Vascular Institute, MS Hershey Medical Center, Hershey, Pennsylvania.
authors.forename: Ian C
authors.initials: IC
authors.lastname: Gilchrist
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D023921:Coronary Stenosis / Q000000981:diagnostic imaging* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging*; D015607:Stents; D018084:Ultrasonography, Interventional; D054079:Vascular Malformations / Q000000981:diagnostic imaging*