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      Intra-atrial course of right coronary artery – case report

      case-report

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Summary

          Background:

          Intra-atrial course of the right coronary artery is a rare anomaly. The recognition of this entity is crucial to avoid potential hazards related to vessel injury during interventional procedures such as right heart catheterization, pacemaker implantation, invasive electrophysiology testing or atrial flutter ablation.

          Case Report:

          We present a case of a 62-year old female with paroxysmal atrial flutter and atrial fibrillation, whose cardiac computed tomography revealed an anomalous course of the right coronary artery through the right atrium.

          Conclusions:

          Cardiac computed tomography examination enables an accurate assessment of morphology and location of the anomalous vessel course.

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          Most cited references6

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

          Roderick M Zalamea, Daniel Entrikin, Thomas Wannenburg … (2009)
          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.
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            Case report: Intra-atrial course of right coronary artery: Evaluation by dual-source CT

            Johann Christopher, chary Duraikannu (2011)
            We report a case of an anomalous course of the right coronary artery (RCA) through the right atrium, which was evaluated using dual-source CT angiography. There have been a few cases described previously in literature, but most of them were found either during surgery or at autopsy. Although this variant is clinically benign, it has significant consequences during interventional procedures or bypass surgery.
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              Anatomia człowieka

              A Bochenek, G. Reicher, B. Bochenek (2007)
              Article 0 comments Cited 3 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Pol J Radiol
                Journal ID (iso-abbrev): Pol J Radiol
                Journal ID (publisher-id): Pol J Radiol
                Title: Polish Journal of Radiology
                Publisher: International Scientific Literature, Inc.
                ISSN (Print): 1733-134X
                ISSN (Electronic): 1899-0967
                Publication date (Print): Jul-Sep 2012
                Volume: 77
                Issue: 3
                Pages: 58-59
                Affiliations
                Department of Radiology, The Cardinal Stefan Wyszyński Institute of Cardiology, Warsaw, Poland
                Author notes
                Author’s address: Joanna Waniewska, Department of Radiology, Cardinal Stefan Wyszyński Institute of Cardiology,Alpejska 42 St., 04-628 Warsaw, Poland, e-mail: jwaniewska@ 123456gmail.com

                PDF file: http://www.polradiol.com/fulltxt.php?ICID=883376

                Article
                Publisher ID: poljradiol-77-3-58
                PMC ID: 3447435
                PubMed ID: 23049583
                SO-VID: cb63779a-596e-4404-860a-d56ae9b01d92
                Copyright © © Pol J Radiol, 2012
                License:

                This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited.

                History
                Date received : 26 March 2012
                Date accepted : 28 June 2012
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Radiology & Imaging
                Keywords: intra-atrial right coronary artery,cardiac ct angiography
                Data availability:
                ScienceOpen disciplines: Radiology & Imaging
                Keywords: intra-atrial right coronary artery, cardiac ct angiography

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