Journal of Cardiovascular Computed Tomography
Volume 3, Issue 1 , Pages 57-61 , January 2009

Anomalous intracavitary right coronary artery shown by cardiac CT: A potential hazard to be aware of before various interventions

  • Roderick M. Zalamea, MD

      Affiliations

    • Department of Radiology, Clinical Cardiac Electrophysiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1088, USA
    • Corresponding Author InformationCorresponding author.
    • ,
  • Daniel W. Entrikin, MD

      Affiliations

    • Department of Radiology, Clinical Cardiac Electrophysiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1088, USA
    • Department of Cardiology, Clinical Cardiac Electrophysiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1088, USA
    • ,
  • Thomas Wannenburg, MD

      Affiliations

    • Department of Cardiology, Clinical Cardiac Electrophysiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1088, USA
    • ,
  • J. Jeffrey Carr, MD, FACC, FAHA

      Affiliations

    • Department of Radiology, Clinical Cardiac Electrophysiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1088, USA
    • Department of Cardiology, Clinical Cardiac Electrophysiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1088, USA

Received 30 June 2008 ,Accepted 1 November 2008.

References 

  1. McAlpine WA. In: Heart and Coronary Arteries: An Anatomical Atlas for Clinical Diagnosis, Radiological Investigation, and Surgical Treatment. New York: Springer-Verlag; 1975;p. 186–187
  2. Kolodziej AW, Lobo FV, Walley VM. Intra-atrial course of the right coronary artery and its branches. Can J Cardiol. 1994;10(2):263–267
  3. Rosamond T, Wetzel LH, Lakkireddy D, Ferrell R, Tadros P. Intracameral right coronary artery: detection by 64 slice coronary computed tomographic angiography and implications for radiofrequency ablation of atrial dysrhythmias. Pacing Clin Electrophysiol. 2007;30:1571–1574
  4. Ochsner JL, Mills NL. Surgical management of diseased intracavitary coronary arteries. Ann Thorac Surg. 1984;38:356–362
  5. Scheffel H, Vetter W, Alkadhi H. Intra-atrial course of the right coronary artery: a previously missed anomaly. Eur Heart J. 2007;28(16):1919
  6. Jalal A, Shackcloth M, Dihmis W. Anomalous course of the right coronary artery in the right atrial wall: a word of caution. Heart Surg Forum. 2002;5(3):300–301
  7. Suzer K, Omay O, Ozker E, Ozgol I, Wijers T. A novel approach to surgical treatment of diseased intracavitary coronary arteries and ventriculostomy closure. Ann Thorac Surg. 2008;85:1110–1112
  8. Saremi F, Pourzand L, Krishnan S, Ashikyan Gurudevan S, Narula J, Kaushal K, et al. Right atrial cavotricuspid isthmus: anatomic characterization with multi-detector row CT. Radiology. 2008;247(3):658–668

 Conflict of interest: The authors report no conflicts of interest.

PII: S1934-5925(08)00633-3

doi: 10.1016/j.jcct.2008.11.001

Journal of Cardiovascular Computed Tomography
Volume 3, Issue 1 , Pages 57-61 , January 2009

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