ArticleJournal of cardiothoracic surgery2025
Anomalous origin of the right coronary artery with severe stenosis of the left coronary artery orifice: a case study.
Article in Journal of cardiothoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAnomalous aortic origin of the coronary artery (AAOCA) represents a form of congenital heart disease. Several primary types of anomalous origin of the coronary artery (AOCA) exist. Patients with certain AOCA types may be at risk of sudden cardiac death (SCD) if timely intervention is delayed. CASE DESCRIPTION: This study reports a case of an 11-year-old female pediatric patient who experienced multiple episodes of syncope before being evaluated at our hospital. She was diagnosed with an anomalous origin of the right coronary artery from the left coronary sinus, along with severe stenosis at the left coronary artery orifice, following transthoracic echocardiography (TTE) and other detailed examinations. The patient subsequently responded well to surgical unroofing for AAOCA combined with single internal mammary artery-coronary artery bypass grafting.
conclusionAs advancements in ultrasonic medicine progress, TTE has proven to be a valuable non-invasive method for diagnosing AAOCA. In this paper, the findings from echocardiography, computed tomography angiography (CTA), and ascending aortography of the patient were analyzed retrospectively to explore the diagnostic value of echocardiography for this condition and to enhance its diagnostic efficacy.
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