Related Experiment Video

Updated: Apr 5, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

19.5K

Anomalous origin of the right coronary artery with an interarterial course and intramural part

Simon Fuglsang1, Johan Heiberg1, Jørgen Byg2

  • 1Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital Skejby, Denmark.

International Journal of Surgery Case Reports
|August 10, 2015
PubMed

Insights

Anomalous origin of the right coronary artery (RCA) from the left sinus is a rare condition causing chest pain. Surgical bypass (RIMA-RCA) effectively resolved symptoms in a patient with this congenital anomaly.

Area of Science:

  • Cardiovascular Medicine
  • Congenital Heart Disease
  • Interventional Cardiology

Background:

  • Anomalous origin and course of the right coronary artery (RCA) is a rare congenital anomaly.
  • Undiscovered anomalies can be fatal, necessitating accurate diagnosis and management.

Purpose of the Study:

  • To report a case of anomalous origin of the RCA from the left sinus with an inter-arterial course.
  • To illustrate the unique imaging of the RCA's course and its contribution to understanding symptomatology.

Main Methods:

  • Case report presentation of a patient with exercise-induced angina and dyspnea.
  • Surgical intervention using Right Internal Mammary Artery to RCA (RIMA-RCA) bypass.

Main Results:

  • The patient presented with symptoms attributed to the anomalous RCA course between the aorta and pulmonary artery.
  • Successful RIMA-RCA bypass surgery resulted in complete symptom remission.

Conclusions:

  • Compression of the RCA in its anomalous course or intramural path can cause symptoms.
  • Surgical revascularization is an effective treatment for symptomatic anomalous RCA.
Abstract

Keywords:
Congenital heart diseaseCongenital heart surgeryCoronary artery anomalyExercise related painSurgical approach

More Related Videos

Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit07:04

Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit

Published on: April 15, 2021

2.6K
Modifications of the Langendorff Method for Simultaneous Isolation of Atrial and Ventricular Myocytes from Adult Mice06:27

Modifications of the Langendorff Method for Simultaneous Isolation of Atrial and Ventricular Myocytes from Adult Mice

Published on: May 13, 2021

6.6K

Related Concept Videos

Coronary Circulation01:21

Coronary Circulation

The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
9.4K
Physiology of the Heart: The Cardiac Cycle01:18

Physiology of the Heart: The Cardiac Cycle

The cardiac cycle describes the events from one heartbeat to the next. It includes three main phases: diastole, atrial systole, and ventricular systole, all driven by changes in chamber pressures and the function of heart valves.
Diastole: The Relaxation Phase
During diastole, all four heart chambers relax. The atrioventricular (AV) valves open, and the semilunar valves close. This phase sees the lowest chamber pressures, promoting ventricular filling. Venous blood enters the heart through the...
14.1K
The Arch of Aorta01:10

The Arch of Aorta

The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
2.3K
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
1.9K
Thoracic Aorta01:15

Thoracic Aorta

The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
2.3K
Abdominal Aorta01:25

Abdominal Aorta

Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
3.2K