Anomalous Origin of Right Coronary Artery from the Non-coronary Cusp Demonstrated by Echocardiography and CT Angiography

  • Simone JhaveriEmail author
  • Albree Tower-Rader
  • Kenneth Zahka
Images in Pediatric Cardiology


Certain coronary anomalies have been associated with sudden cardiac death. Anomalous origin of the right coronary artery (RCA) from the posterior non-coronary aortic cusp is exceedingly rare. Through multimodality imaging, we present a young female with an anomalous RCA arising from the non-coronary cusp. Given the unobstructed origin and benign course, no intervention was recommended.


Right coronary artery Anomalous coronary artery Non-coronary cusp Echocardiography CT angiography 


Compliance with Ethical Standards

Conflict of interest

None of the authors have any conflicts of interest.

Research Involving Human Participants and/or Animals

This article does not contain any studies with human participants or animals performed by any of the authors.


  1. 1.
    Angelini P (2007) Coronary artery anomalies: an entity in search of an identity. Circulation 115(10):1296–1305. CrossRefPubMedGoogle Scholar
  2. 2.
    Frescura C, Basso C, Thiene G et al (1998) Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Hum Pathol 29(7):689–695. CrossRefPubMedGoogle Scholar
  3. 3.
    Yamanaka O (1990) Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 21(1):0098–6569CrossRefGoogle Scholar
  4. 4.
    Adebo D, Jacobson Z, Harris MA (2015) Anomalous origin of the right coronary artery from the posterior, non-coronary sinus of Valsalva diagnosed by cardiac magnetic resonance imaging. Cardiol Young 25(5):1006–1008. CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Simone Jhaveri
    • 1
    • 3
    Email author
  • Albree Tower-Rader
    • 2
  • Kenneth Zahka
    • 1
  1. 1.Department of Pediatric CardiologyCleveland ClinicClevelandUSA
  2. 2.Department of Cardiovascular Medicine, Heart and Vascular InstituteCleveland ClinicClevelandUSA
  3. 3.Department of Pediatric CardiologyCleveland ClinicClevelandUSA

Personalised recommendations