Presentation
Chest pain
Patient Data
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.
Conclusion
No evidence of coronary atherosclerosis. Normal coronary arteries.
Case Discussion
Example of a normal right dominant coronary circulation