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European Heart Journal 1988 9(12):1363-1366;
Copyright © 1988 by the European Society of Cardiology.
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© 1988 The European Society of Cardiology

Anomalous origin of the anterior descending coronary artery from a non-dominant right coronary artery

M. PAPOUCHADO, E.J. WALKEY and R.P.H WILDE*

Department of cardiology Bristol, Avon BS2 8HW, England
*Radiodiagnosis, Bristol Royal Infirmary Bristol, Avon BS2 8HW, England

Received 25 May 1988; .

Address for correspondenceDr M. Papouchado, Department of Cardiology, Bristol Royal Infirmary, Bristol, Avon BS2 8HW, England.

Abstract

We present a patient with rheumatic maitral value disease with anomalous origin of the anterior descending coronary artery. The coronory anatomy was unusual for two reasons; firstly, the anterior descending coronary artery was branch of a non-dominant right coronary artery, and secondly it passed to the left in the interventricular septum beneath the right ventricular infundibulum. As far as we are aware, this anatomical variation has not been described before and it appears to be of no haemodynamic significance.


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