The sinister course of an intramural right coronary artery

Deane L S Yim, Mark C K Hamilton, Robert M R Tulloh*

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)


We report the case of an adolescent who was presented with long-standing exertional symptoms, and was diagnosed with an anomalous right coronary arterial origin arising above the commissural junction between the left and right aortic sinus, with inter-arterial and intramural compression. The precise origin of this lesion outside the aortic sinuses is unusual, and multi-detector computed tomography gave excellent definition and spatial resolution of the anomalous origin and course. It is crucial to have a high index of suspicion of exertional symptoms, as sudden death may be the first manifestation of an anomalous coronary artery.

Original languageEnglish
Pages (from-to)206-208
Number of pages3
JournalCardiology in the Young
Issue number2
Publication statusPublished - Apr 2012


  • Anomalous coronary
  • computed tomography
  • opposite sinus
  • sudden death

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