Evidence map›Paper›PMID 37025716›Full record

ArticleCureus2023

Anomalous Origin of the Left Coronary Artery From the Right Coronary Cusp: A Case Report.

Jurgen Shtembari, Dhan B Shrestha, Prakash R Oli, Anish Munagala, Elda Mullaj, Kerolus Shehata, Daniela Kovacs, Sandeep Khosla

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 2 countries.

Jurgen ShtembariDepartment of Internal Medicine, Mount Sinai Hospital, Chicago, USA.
Dhan B ShresthaDepartment of Medicine, Mount Sinai Hospital, Chicago, USA.
Prakash R OliDepartment of Medicine, Province Hospital, Surkhet, NPL.
Anish MunagalaDepartment of Cardiology, Mount Sinai Hospital, Chicago, USA.
Elda MullajDepartment of Cardiology, Mount Sinai Hospital, Chicago, USA.
Kerolus ShehataDepartment of Cardiology, Mount Sinai Hospital, Chicago, USA.
Daniela KovacsDepartment of Cardiology, Mount Sinai Hospital, Chicago, USA.
Sandeep KhoslaDepartment of Cardiology, Mount Sinai Hospital, Chicago, USA.
Mount Sinai Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anomalous origin of the left main coronary trunk from the right coronary sinus is a rare condition and is associated with a significantly increased risk of cardiac events, including sudden cardiac death, and it may pose difficulties in their management using revascularization strategies. We present a case of a 68-year-old man with worsening chest pain. Initial evaluation revealed ST elevation of the inferior wall leads and elevated troponins. He was diagnosed with ST-elevation myocardial infarction (STEMI) and sent for emergency cardiac catheterization. Coronary angiography showed 50% stenosis of the mid-right coronary artery (RCA) that extended as a total occlusion to the distal RCA and an unexpected anomalous origin of the left main coronary artery (LMCA). Our patient's LMCA originated from the right cusp sharing a single ostium with the RCA. Multiple attempts of revascularization with percutaneous coronary intervention (PCI), using multiple wires, catheters, and different-sized balloons, were unsuccessful due to complex anatomy. Our patient was managed with medical therapy and discharged home with close cardiology follow-up.

Indexed as

anomalous coronary arterycoronary angiogramlcarcastemi

Identifiers

PMID37025716
PMCPMC10072173
OpenAlexW4323043879

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.