Clin. Cardiol. 30, 309 (2007) Images edited by James Hill, M.D. A Rare Coronary Anomaly: Double Right Coronary Artery Okan Gulel, M.D., Mustafa Yazici, M.D., Kenan Durna, M.D., Sabri Demircan, M.D. 19 Mayis University, Faculty Of Medicine, Department Of Cardiology, Samsun, Turkey A 60-year-old man was diagnosed as having an ante- rior myocardial infarction and was treated with tissue plasminogen activator (tPA). When coronary angiog- raphy was performed later to evaluate his coronary anatomy, an interesting finding was found to be present in the right circulation. There were two different right coronary arteries originating from the right sinus of Valsalva with the same ostia (Fig. 1 and 2). In addition, Two right coronary arteries in right anterior oblique FIG. 2 projection during coronary angiography. one of them was normal, but the other one had atheroscle- rotic plaques. Right Coronary Artery (RCA) anoma- lies are rare. RCA arising from left anterior descend- ing coronary artery or from pulmonary artery is some- times seen.1,2However, double RCA (one normal, one atherosclerotic) with the same ostia is rarely detected. Two right coronary arteries in left anterior oblique FIG. 1 projection during coronary angiography. References Address for reprints: Okan Gulel, M.D. Universite Lojmanlari A-Blok No: 7, 55139 Kurupelit Samsun, Turkey e-mail: email@example.com 1. Kobayashi T: Anomalous origin of the right coronary artery from the pulmonary artery. Ryoikibetsu Shokogun Shirizu 1996;12:790–792 Hughes MM: Anomalous origin of the right coronary artery from the left anterior descending coronary artery. Cathet Cardiovasc Diagn 1997;42(3):308–309 2. Received: April 25, 2006 Accepted: July 18, 2006 Published online in Wiley InterScience (www.interscience.wiley.com). DOI:10.1002/clc.20009 2007 Wiley Periodicals, Inc.