Abnormal right coronary artery flow and multiple right ventricular myocardial infarctions associated with severe right ventricular systolic hypertension

The impact of left ventricular hypertension on coronary now patterns in adu lt patients has been web described. In contrast, few reports exist regardin g the association of right coronary pow abnormalities with right ventricula r hypertension. The observation of myocardial infarcts, right ventricular h yper-tension, and abnormal coronary flow pattern-as well as its normalizati on with relief of right ventricular hypertension-lends support to a causal relation between ventricular hypertension and coronary flow abnormalities.