Clinical & Experimental Cardiology
Open Access

Abstract

Intracavitary Coronary Course; a Silent Anatomical Variant with Potential Risks during Cardiac Interventions

Hossameldin Hussein

Intracavitary coronary course is a rare anatomical variant that is characterized by passage of a coronary arterial segment inside the cardiac chamber through penetration into the myocardium. The condition has been more frequently noticed in the past years owing to the widespread utility of coronary computed tomography. It typically has an asymptomatic clinical course with only a theoretical risk of ischemia in cases of severe pulmonary hypertension. Invasive cardiac procedures involving the right atrium and ventricle carry a high risk of arterial injury with subsequent myocardial ischemia and coronary-cameral fistula. Further research is still required to better understand the pathophysiology, clinical consequences and proper management of the condition.

Published Date: 2025-01-16;