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Split Right Coronary Artery With Sinister Intra-Atrial Course of Posterior Trunk Cover

Split Right Coronary Artery With Sinister Intra-Atrial Course of Posterior Trunk

Open Access
|Dec 2025

Figures & Tables

Figure 1

(A, B) Volume-rendered images, (C) axial image, and (D) curved multiplanar reconstruction of computed tomography angiography show the RCA splitting into two trunks. The anterior good-sized trunk (white thick arrow) is seen coursing along the acute margin of the right heart and is seen reaching the distal aspect of the posterior interventricular groove and continuing as the distal posterior descending artery (white arrowhead). The posterior trunk (yellow thick arrow) is seen coursing along the right atrioventricular groove, subsequently entering the RA and having an intra-atrial course (dotted circle) for a length of 3 cm. The posterior trunk is then seen emerging out of the right atrium near the crux of the heart and gives rise to a proximal posterior descending artery along the proximal posterior interventricular groove. RCA: right coronary artery; RA: right atrium

Video 1

Volume rendering of the coronary computed tomography angiography dataset; see also at https://youtube.com/shorts/i2I2_4HVhDY.

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

© 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.