Malignant course of right coronary artery

Case contributed by Annette Johnstone
Diagnosis certain

Presentation

Collapse NSTEMI Angiogram unable to see / cannulate RCA

Patient Data

Age: 45 years
Gender: Male

Anomalous origin of the RCA with a slit like proximal vessel passing between the aorta and pulmonary artery.  

Case Discussion

The origin of the RCA could not be located on a conventional angiogram. It has a slit-like origin on CT. The patient subsequently underwent de-roofing procedure.

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