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Coronary anomaly: anomalous right coronary artery originates from the left sinus of Valsalva and coursing between the pulmonary artery and aorta

Authors Qin X, Xiong W, Guan E, Lu C

Received 7 July 2013

Accepted for publication 2 August 2013

Published 11 September 2013 Volume 2013:8 Pages 1217—1220

DOI https://doi.org/10.2147/CIA.S51166

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Xuguang Qin,1 Weiguo Xiong,1 Enben Guan,2 Chunpeng Lu1

1Department of Cardiology, First Affiliated Hospital of Tsinghua University, Beijing, People’s Republic of China; 2Department of Pediatric, The Affiliated Hospital of Qingdao Medical College, Qingdao, People’s Republic of China

Abstract: Coronary artery anomalies (CAAs) are present at birth, but are usually asymptomatic and are found during coronary angiography or multi-slice computed tomography (MSCT) detection. The most common coronary anomaly is the separating origin of left anterior descending coronary artery (LAD) and left circumflex artery (LCX) from the left sinus of Valsalva, and this variant is benign. Herein, we present three extremely rare cases of anomalous right coronary artery (RCA) detected incidentally during routine coronary angiography and confirmed by multi-slice computed tomography (MSCT) technique. All the anomalous right coronary artery coursed between the pulmonary artery and aorta. We discuss how to make an accurate diagnosis for appropriate management.

Keywords: coronary anomaly, anomalous right coronary artery, coronary angiography, elderly

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