Split Right Coronary Artery With Sinister Intra-Atrial Course of Posterior Trunk
Abstract
We report the case of a 79-year-old male with atypical chest pain where electrocardiogram-gated coronary computed tomography angiography (CTA) demonstrated a split right coronary artery with an intra-atrial course of the posterior trunk. This case highlights the clinical implications of the rare anomaly and the importance of coronary CTA in detecting this unusual variant, which will be missed even on invasive coronary angiography.
DOI: https://doi.org/10.14797/mdcvj.1730 | Journal eISSN: 1947-6108
Language: English
Page range: 123 - 126
Submitted on: Oct 26, 2025
Accepted on: Nov 3, 2025
Published on: Dec 10, 2025
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services
Keywords:
© 2025 Damandeep Singh, Vineeta Ojha, Niraj Nirmal Pandey, Sourabh Agstam, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.