Abstract

Abstract Malignant Right Coronary Artery (RCA), with an incidence of 0.03%–0.17% in patients undergoing angiography is a rare form of congenital coronary artery anomaly. These patients may be asymptomatic and undetected having a risk of sudden cardiac death or symptomatic and posing a diagnostic and management dilemma. Routine coronary angiography may at times be unable to pick up the lesion due to abnormal location of right coronary ostia. The management has to be individualized based on patient symptoms and other parameters and comorbidities. Here, we present a case of malignant RCA managed by coronary artery bypass grafting.

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