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Right coronary artery arising from pulmonary trunk: assessment with conventional coronary angiography and multislice computed tomography coronary angiography

Tedeschi, Carlo; Briguori, Carlo; De Rosa, Roberto; Ratti, Gennaro; Cademartiri, Filippo; Sacco, Maurizio; Borrelli, Francesco; Tammaro, Paolo; Midiri, Massimo; Capogrosso, Paolo

Journal of Cardiovascular Medicine: February 2009 - Volume 10 - Issue 2 - p 178–182
doi: 10.2459/JCM.0b013e32831de545
Case reports

We present a case of a 59-year-old man who was admitted to the hospital because of atypical chest pain and dyspnea. Conventional coronary angiography showed an anomalous origin of the right coronary artery from the pulmonary trunk. The patient underwent multislice computed tomography in order to clarify the origin and course of the anomalous vessel. The aim of this report is to emphasize the role of multislice computed tomography as an accurate noninvasive imaging tool in the evaluation of coronary artery anomalies.

aCardiology Unit, ‘San Gennaro’ Hospital, ASL Napoli 1, Naples, Italy

bLaboratory of Interventional Cardiology, ‘Clinica Mediterranea’, Naples, Italy

cRadiology Unit, ‘San Gennaro’ Hospital, ASL Napoli 1, Naples, Italy

dCardiology Unit, ‘San Giovanni Bosco’ Hospital, ASL Napoli 1, Naples, Italy

eDepartment of Radiology, Azienda Ospedaliero–Universitaria di Parma, Parma, Italy

fDepartment of Radiology, Policlinico ‘P. Giaccone’, University of Palermo, Palermo, Italy

Received 22 June, 2008

Revised 22 September, 2008

Accepted 15 October, 2008

Correspondence to Dr Carlo Tedeschi, Via Chiatamone 6, 80121 Naples, Italy Tel: +39 0817646228; fax: +39 0812545178; e-mail:

© 2009 Italian Federation of Cardiology. All rights reserved.