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Trifurcation of right coronary artery and its huge right ventricular branch: can it be hazardous?

  • Nayak, Satheesha B. (Deparment of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal Academy of Higher Education)
  • Received : 2018.01.18
  • Accepted : 2018.01.26
  • Published : 2018.06.30

Abstract

The objective of this case report is to alert the cardiologists and radiologists about the possibility of an extremely rare trifurcation of the right coronary artery. During dissection classes, an early trifurcation of the right coronary artery (RCA) was observed in an adult male cadaver aged approximately 65 years. The RCA had a normal origin from the anterior aortic sinus. After a course of just 2 mm, it trifurcated into a conus artery, a huge right ventricular branch and then a main continuation of the RCA. The conus artery entered the myocardium of the conus after a short course. The huge ventricular branch had a downward and left course almost till the apex of the heart. Right marginal artery was absent. No other vascular variations of heart were observed apart from this. Knowledge of this trifurcation could be useful in coronary angioplasty and bypass procedures.

Keywords

References

  1. Piegger J, Kovacs P, Ambach E. Extremely high origin of the right coronary artery from the ascending aorta. Clin Anat 2001; 14:369-72. https://doi.org/10.1002/ca.1065
  2. Svensson A, Themudo R, Cederlund K. Anomalous origin of right coronary artery from the pulmonary artery. Eur Heart J 2017;38:3069. https://doi.org/10.1093/eurheartj/ehx271
  3. Brenner E, Pechriggl E, Zwierzina M, Hormann R, Moriggl B. Case report: a common trunk of the coronary arteries. Surg Radiol Anat 2017;39:455-9. https://doi.org/10.1007/s00276-016-1736-4
  4. Gul M, Sen F, Sahan E, Maden O, Selcuk T. Right coronary artery emerging as a septal branch from the left anterior descending artery: a single coronary ostium anomaly. Herz 2014;39:780-2. https://doi.org/10.1007/s00059-013-3897-9
  5. Gholoobi A. Anomalous origin of the right coronary artery from the midportion of the left anterior descending artery: a rare coronary anomaly. J Tehran Heart Cent 2016;11:149-52.
  6. Deora S, Shah S, Patel T. Double or split right coronary artery: still a diagnostic dilemma for this rare coronary anomaly. Int J Cardiol 2014;171:457-9. https://doi.org/10.1016/j.ijcard.2013.11.058
  7. Singh S, Ajayi N, Lazarus L, Satyapal KS. Anatomic study of the morphology of the right and left coronary arteries. Folia Morphol (Warsz) 2017 May 29 [Epub]. http://doi.org/10.5603/FM.a2017.0043.
  8. Sanchez-Zuriaga D, Martinez-Soriano F. Absence of circumflex artery with superdominant right coronary: a classic anatomical dissection study. Surg Radiol Anat 2015;37:211-4. https://doi.org/10.1007/s00276-014-1291-9
  9. Omeish A. Double-v side-branch stenting followed by main trunk stenting in type-a3 trifurcation coronary artery disease using a dual-catheter technique: the triple-tine fork technique. J Invasive Cardiol 2013;25:E198-202.
  10. Shao C, Stella PR, Agostoni P. Complex made easy: left anterior descending artery trifurcation lesion completely treated with a single device. J Invasive Cardiol 2012;24:E164-6.

Cited by

  1. Novel bilateral bifurcation of the coronary vasculature vol.54, pp.1, 2018, https://doi.org/10.5115/acb.20.241