Rare Case of Dual Right Coronary Artery Intervention Presenting as Acute Coronary Syndrome

Abstract

Dual right coronary artery (RCA) is a very rare coronary anomaly. This anomaly is often undetected and may be totally asymptomatic to presenting as acute coronary syndrome. Here , we present a young diabetic male who presented with acute onset severe chest pain of 30 minutes duration which was managed as acute coronary syndrome ( NSTE-ACS). His urgent coronary angiogram revealed single ostial origin of right coronary artery (RCA) with total occlusion from proximal segment followed by double right coronary arteries with their respective distal branches.