Intra-atrial course of the right coronary artery

Changed by Francis Deng, 31 Jan 2020

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Intra-atrial course of the right coronary artery is an uncommon anatomic variation in the course of the right coronalcoronary artery, usually involving the mid and distal segments, where the vessel partially or completely courses through the right atrial chamber. It is the most common intracavitary (intracameral) coronary artery variant 3.

It is usually asymptomatic and clinically occult but is of radiological significance in any fluoroscopic procedure requiring a wire or catheter to be passed through the right atrium, in which it is prone to injury causing right coronal artery territory ischaemia or infarction. It may also be injured during tricuspid valve surgery, coronary artery catheterisation and bypass grafting.

  • -<p><strong>Intra-atrial course of the right coronary artery</strong> is an uncommon anatomic variation in the course of the <a href="/articles/right-coronary-artery">right coronal artery</a>, usually involving the mid and distal segments, where the vessel partially or completely courses through the right atrial chamber.</p><p>It is usually asymptomatic and clinically occult but is of radiological significance in any fluoroscopic procedure requiring a wire or catheter to be passed through the right atrium, in which it is prone to injury causing right coronal artery territory ischaemia or <a href="/articles/myocardial-infarction">infarction</a>. It may also be injured during tricuspid valve surgery, coronary artery catheterisation and bypass grafting.</p>
  • +<p><strong>Intra-atrial course of the right coronary artery</strong> is an uncommon anatomic variation in the course of the <a href="/articles/right-coronary-artery">right coronary artery</a>, usually involving the mid and distal segments, where the vessel partially or completely courses through the right atrial chamber. It is the most common intracavitary (intracameral) coronary artery variant <sup>3</sup>.</p><p>It is usually asymptomatic and clinically occult but is of radiological significance in any fluoroscopic procedure requiring a wire or catheter to be passed through the right atrium, in which it is prone to injury causing right coronal artery territory ischaemia or <a href="/articles/myocardial-infarction">infarction</a>. It may also be injured during tricuspid valve surgery, coronary artery catheterisation and bypass grafting.</p>

References changed:

  • 3. Buckley CM, Rosamond T, Hegde SR, Wetzel L. The intracavitary coronary artery: a rare anomaly with implications for invasive cardiac procedures - demonstration by coronary computed tomography angiography. Journal of the American College of Cardiology. 2017;69 (11 Supplement): 1437. <a href="http://dx.doi.org/10.1016/S0735-1097(17)34826-X">doi:10.1016/S0735-1097(17)34826-X</a>
  • 3. Buckley CM, Rosamond T, Hegde SR, Wetzel L. The intracavitary coronary artery: a rare anomaly with implications for invasive cardiac procedures - demonstration by coronary computed tomography angiography. Journal of the American College of Cardiology. 2017;69 (11 Supplement): 1437. <a href="http://dx.doi.org/10.1016/S0735-1097(17)34826-X">doi:10.1016/S0735-1097(17)34826-X</a>
  • 3. Buckley CM, Rosamond T, Hegde SR, Wetzel L. The intracavitary coronary artery: a rare anomaly with implications for invasive cardiac procedures - demonstration by coronary computed tomography angiography. Journal of the American College of Cardiology. 2017;69 (11 Supplement): 1437. <a href="http://dx.doi.org/10.1016/S0735-1097(17)34826-X">doi:10.1016/S0735-1097(17)34826-X</a>
  • 3. Buckley CM, Rosamond T,Hegde SR, Wetzel L. The intracavitary coronary artery: a rare anomaly with implications for invasive cardiac procedures - demonstration by coronary computed tomography angiography. Journal of the American College of Cardiology. (2017) 69(11 Supplement); 1437. <a href="http://dx.doi.org/10.1016/S0735-1097(17)34826-X">doi:10.1016/S0735-1097(17)34826-X</a>
  • 3. Buckley CM, Rosamond T, Hegde SR, Wetzel L. The intracavitary coronary artery: a rare anomaly with implications for invasive cardiac procedures - demonstration by coronary computed tomography angiography. Journal of the American College of Cardiology. (2017) 69(11 Supplement); 1437. <a href="http://dx.doi.org/10.1016/S0735-1097(17)34826-X">doi:10.1016/S0735-1097(17)34826-X</a>

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