Related Experiment Video

Updated: Jul 17, 2025

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

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Two Cases of Highly Symptomatic Interarterial Anomalous Right Coronary Arteries

Kyle J Clay1, Arsalan Hamid1, Bradley P Deere2

  • 1Department of Medicine, University of Mississippi Medical Center, Jackson, USA.

Cureus
|September 4, 2023
PubMed

Insights

Congenital coronary artery anomalies, like anomalous aortic origin, can cause sudden cardiac death. This study presents two unique cases of symptomatic anomalous right coronary arteries, highlighting diagnostic and management challenges due to lack of consensus.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Medical Imaging

Background:

  • Coronary artery anomalies are congenital variations in coronary artery anatomy.
  • Anomalous aortic origin of a coronary artery involves origin from an inappropriate sinus of Valsalva.
  • These anomalies can lead to serious outcomes, including sudden cardiac death (SCD).

Observation:

  • Two unique cases of symptomatic anomalous right coronary arteries are presented.
  • Patients experienced symptoms related to their coronary artery anomaly.
  • Imaging findings were crucial in diagnosis.

Findings:

  • The cases illustrate the clinical presentations and imaging characteristics of anomalous right coronary arteries.
  • Management strategies for symptomatic patients were discussed.
  • No unified consensus exists for risk stratification and management.

Implications:

  • Highlights the need for improved diagnostic and management strategies for anomalous aortic origin of coronary arteries.
  • Emphasizes the importance of recognizing these variants to prevent adverse events.
  • Contributes to the understanding of symptomatic coronary artery anomalies.

Keywords:
adult congenital heart diseaseanomalous coronary artery originanomalous origin of right coronary arterycardiac chest paincardiac stress testcoronary artery angiographycoronary computed tomoangiographycoronary unroofingcoronary vessel anomalyright coronary artery (rca)

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