Double Right Coronary Artery: A Report of Two Cases

Abstract

Coronary artery anomalies are uncommon and often asymptomatic. A double right coronary artery is an extremely rare coronary artery anomaly, and only a few cases of double right coronary artery have been reported. Interestingly, most of the cases about this anomaly were reported from Turkey. In this case reports, we aimed to present double right coronary artery anomaly in two patients who was admitted with typical chest pain.

Keywords

• Coronary vessel anomalies, coronary angiography

Çift Sağ Koroner Arter: İki Vakanın Sunumu

Abstract

Koroner arter anomalileri nadir görülürler ve genellikle asemptomatiktirler. Çift sağ koroner arter son derece nadir görülen koroner arter anomalisi olup, sadece birkaç çift sağ koroner arter vakası bildirilmiştir. İlginç olarak, bu anomali ile ilgili vakaların çoğunluğu Türkiye'den bildirilmiştir. Bu olgu sunumunda tipik göğüs ağrısı ile başvuran iki hastadaki çift sağ koroner arter anomalisini sunmayı amaçladık.

Keywords

• Koroner damar anomalileri, koroner anjiyografi

References

1. Harikrishnan S, Jacob SP, Tharakan J, Titus T, Kumar VK, Bhat A, et al. Congenital coronary anomalies of origin and distribution in adults: a coronary arteriographic study. Indian Heart J 2002;54(3):271-5.
2. Sundaram B, Kreml R, Patel S. Imaging of coronary artery anomalies. Radiol Clin North Am 2010;48(4):711–27.
3. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990;21(1):28–40
4. Click RL, Holmes Jr DR, Vlietstra RE, Kosinsiki AS, Kronmal RA. Anomalous coronary arteries: location, degree of atherosclerosis and effect on survival— a report from the Coronary Artery Surgery Study. J Am Coll Cardiol 1989;13(3):531–7
5. Selcoki Y, Yilmaz OC, Er O, Eryonucu B. Double right coronary artery: a report of two cases. Clinics (Sao Paulo). 2010;65(4):449- 51.
6. Misuraca L, Rutigliano D, Pestrichella V, Contegiacomo G, Balbarini A. A very rare congenital abnormality: double right coronary artery. A case report. J Cardiovascular Medicine. 2009;10(8):643-5
7. Misuraca L, Balbarini A. Double right coronary artery or split right coronary artery: the same anomaly? J Cardiovasc Med (Hagerstown) 2010;11:398
8. Kunimasa T, Sato Y, Ichikawa M, et al. MDCT detection of double right coronary artery arising from a single ostium in the right sinus of Valsalva: report of 2 cases. Int J Cardiol 2007;115:239–4

9. Chen YF, Chien TM, Chen CW, et al. Double right coronary artery or split right coronary artery? Int J Cardiol. 2012;154(3):243-5
10. Vural M. Suggestions for definition and classification of double right coronary artery, which is frequently seen in Turkey despite its rarity in the literature. Anadolu Kardiyol Derg (Turkish) 2008;8:303-4.
11. Rohit M, Bagga S, Talwar KK. Double right coronary artery with acute inferior wall myocardial infarction. J Invasive Cardiology. 2008;20:37-40.
12. Tuncer C, Batyraliev T, Y1lmaz R, Gökçe M, Eryonucu B, Körolu S. Origin and distribution anomalies of the left anterior descending artery in 70,850 adult patients: multicenter data collection. Catheter Cardiovasc Interv 2006; 68: 574-85
13. Halit A, Ferhat O, Mehmet B, et al. A Rare Coronary Anomaly: Atypical Double Right Coronary Artery With an Acute Inferior Myocardial Infarction. Korean Circ J 2012;42:208-211