Normal right dominant circulation

Case contributed by Craig Hacking
Diagnosis certain


Chest pain

Patient Data

Age: 35 years
Gender: Male

Coronary Angiography

Origins: Normal Dominance: Right

Left Main Coronary Artery (LMCA): Normal.

Left Anterior Descending (LAD): Normal.

1st diagonal branch (D1) - Patent

Tiny RI.

Circumflex artery (Cx): Normal.

1st obtuse marginal branch (OM1), OM2 - Patent

Right Coronary Artery (RCA): Normal.

Posterior descending artery (PDA) - Patent

Posterior left ventricular branch (PLV) - Patent

Cardiovascular Findings:

Single right sided SVC.

Normal pulmonary venous drainage.Pericardium and pericardial space appears unremarkable.

No valvular calcification.

No other structural cardiac abnormalities identified.


No evidence of coronary atherosclerosis. Normal coronary arteries.

Case Discussion

Example of a normal right dominant coronary circulation

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