Intra-atrial course of right coronary artery:A case report

作     者：Giulio Barbiero Giuseppe Maiolino Anna Argiolas Luca Testolin Giorgio De Conti 

作者机构：Department of Integrated Diagnostic ServicesDIDASRadiology UnitUniversity Hospital of PaduaPadua 35128Italy Department of MedicineMedical Clinic 3University Hospital of PaduaPadua 35128Italy Department of CardiacThoracicVascular Sciences and Public HealthCardiac SurgeryUniversity Hospital of PaduaPadua 35128Italy 

出 版 物：《World Journal of Cardiology》 (世界心脏病学杂志（英文版）（电子版）)

年 卷 期：2022年第14卷第9期

页      面：514-521页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Coronary artery anomaly Anomalous course of right coronary artery Intraatrial right coronary artery Intracavitary right coronary artery Multi-detector computed tomography angiography Case report 

摘      要：BACKGROUND Intra-atrial right coronary artery(RCA)is a rare and generally asymptomatic anomaly of development of the coronary *** malformation could potentially expose the patient to a catastrophic outcome in the case of injury during interventional or surgical ***,only a few case reports and no systematic reviews are available in the *** SUMMARY We report the case of a 54-year-old man with atypical chest pain who underwent multi-detector computed tomography angiography(MDCTA).The exam revealed no significant coronary artery stenoses;however,an intra-atrial course of mid RCA was *** therapy was administered,and the patient was discharged to home without undergoing a conventional *** reported autoptic and clinical cases were retrieved from the PubMed literature database to compare the clinicopathological features of this *** MDCTA depicted the abnormal course of the coronary artery in this patient as an intra-atrial course of the mid *** this abnormality was crucial to avoid an inadvertent injury during interventional or surgical procedures.