Incidental Diagnosis of Anomalous Right Coronary Artery Originating from the Opposite Sinus, in a Kawasaki Disease Patient

Abstract

　　Anomalous coronary arteries are considered to be benign, however coronary arteries originating from the opposite sinus are considered to be potentially fatal. Especially during exercise, compression of the coronary artery between the aorta and the pulmonary artery may result in myocardial ischemia and in some cases, death. We report an incidental finding of an anomalous right coronary artery originating from the left sinus, in a 5-year-old Kawasaki disease patient. Management of asymptomatic and incidentally diagnosed patients with anomalous right coronary artery remain a subject of debate.