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An Uncommon Cause of Angina
David S Majdalany1, Elaina A Blickenstaff2, Francois Marcotte3
1Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Diagnostics (Basel, Switzerland)
|September 13, 2025
Summary
Coronary artery anomalies require consideration in young patients with angina. Prompt diagnosis via imaging and surgical re-implantation of the anomalous right coronary artery from the pulmonary artery is crucial.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Coronary artery anomalies are rare but significant causes of angina in young patients.
- Anomalous origin of the right coronary artery from the pulmonary artery is a rare congenital anomaly.
Purpose of the Study:
- To highlight the importance of considering coronary anomalies in young patients presenting with angina.
- To emphasize the role of multi-modality imaging in diagnosing coronary artery anomalies.
- To present a case of anomalous right coronary artery from the pulmonary artery and its successful surgical management.
Main Methods:
- Clinical presentation of a young patient with angina.
- Diagnostic workup including multi-modality imaging (coronary angiography, tomographic imaging).
- Surgical intervention involving re-implantation of the anomalous right coronary artery.
Main Results:
- The patient presented with symptoms suggestive of coronary ischemia.
- Multi-modality imaging confirmed the anomalous origin of the right coronary artery from the pulmonary artery.
- Successful surgical re-implantation of the anomalous right coronary artery to the aorta was performed.
Conclusions:
- Coronary artery anomalies should be suspected in young patients with angina.
- Prompt diagnosis and timely surgical intervention are essential for favorable outcomes.
- Anomalous right coronary artery from the pulmonary artery requires surgical correction to restore normal coronary blood flow.
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