Anomalous right coronary artery (ARCA) with interarterial course

Case contributed by Erik Ranschaert , 23 Nov 2010
Diagnosis certain
Changed by Bruno Di Muzio, 6 Oct 2015

Updates to Case Attributes

Diagnostic Certainty was set to .
Race changed from Caucasian to .
Body was changed:

This patient has an anomalous right coronary artery (ARCA) originating from the anterior side of the ascending aorta  andand coursing between the pulmonary trunctrunk and ascending aorta (= interarterial courseinter-arterial course).  

An ARCA with interarterial course inter-arterial course has a severe prognosis and is therefore referred to as malignant

Symptomatology is thought to be caused by the rising pressure within both the aorta and pulmonary artery during exercise, thereby compressing the anomalous coronary artery by a scissor-like mechanism.

  • -<p>This patient has an <strong>anomalous right coronary artery</strong> (ARCA) originating from the anterior side of the ascending aorta  and coursing between the pulmonary trunc and ascending aorta (= <em>interarterial course</em>).  </p>
  • -<p>An ARCA with<em> interarterial course</em> has a severe prognosis and is therefore referred to as <em>malignant</em>. </p>
  • -<p>Symptomatology is thought to be caused by the rising pressure within both the aorta and pulmonary artery during exercise, thereby compressing the anomalous coronary artery by a scissor-like mechanism.</p>
  • +<p>This patient has an <strong>anomalous right coronary artery</strong> (ARCA) originating from the anterior side of the ascending aorta and coursing between the pulmonary trunk and ascending aorta (= <em>inter-arterial course</em>).  </p><p>An ARCA with<em> inter-arterial course</em> has a severe prognosis and is therefore referred to as <em>malignant</em>. </p><p>Symptomatology is thought to be caused by the rising pressure within both the aorta and pulmonary artery during exercise, thereby compressing the anomalous coronary artery by a scissor-like mechanism.</p>

Updates to Study Attributes

Caption was added:
Cardiac CT
Findings was added:

See the description for each sequence. 

Images Changes:

Image CT (C+ arterial phase) ( update )

Perspective was set to Axial.
Single Or Stack Root was set to .

Image CT (C+ arterial phase) ( update )

Perspective was set to Axial.

Image CT (C+ arterial phase) ( update )

Perspective was set to Coronal.

Image CT (C+ arterial phase) ( update )

Perspective was set to Oblique.
Single Or Stack Root was set to .

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