Atypical Double Right Coronary Artery Presenting With Acute Coronary Syndrome, Cardiogenic Shock and Complete Heart Block

Santosh Kumar Sinha, Shravan Singh, Vikash Chaturvedi, Puneet Agrawal, Mahmadula Razi, Anupam Mahrotra, Vikas Mishra, Mukesh Kumar, Nasar Abdali, Dibbendhu Khanra, Ramesh Thakur, Chandra Mohan Varma, Umeshwar Pandey

Abstract


Double right coronary artery (RCA) is an extremely rare coronary artery anomaly. We here report an atherosclerotic double RCA which appeared after primary percutaneous intervention performed to treat a 34-year-old male presenting with acute inferior myocardial infarction, cardiogenic shock and complete heart block. This is an unusual case as double RCA had been hidden by total atherosclerotic occlusion of the proximal part of the RCA and complete restoration of patency led complete heart block back to normal sinus rhythm.




J Clin Med Res. 2017;9(3):221-224
doi: https://doi.org/10.14740/jocmr2848w

Keywords


Coronary artery anomaly; Double right coronary artery; Complete heart block; Cardiogenic shock; Myocardial infarction

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