Evidence map›Paper›PMID 41425674›Full record

ArticleCureus2025

Anomalous Aortic Origin of the Right Coronary Artery Between the Right and Left Coronary Sinuses: A Case Report.

Maria Eduarda Costa, Catarina Bettencourt, Joana Guardado, Tânia Virginia Tavares Dos Santos, Andreia Vieira da Cruz

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Maria Eduarda CostaFamily and Community Medicine, Buarcos Family Health Unit, Baixo Mondego Local Health Unit, Figueira da Foz, PRT.
Catarina BettencourtFamily and Community Medicine, Buarcos Family Health Unit, Baixo Mondego Local Health Unit, Figueira da Foz, PRT.
Joana GuardadoCardiology, Figueira da Foz District Hospital, Baixo Mondego Local Health Unit, Figueira da Foz, PRT.
Tânia Virginia Tavares Dos SantosFamily and Community Medicine, Buarcos Family Health Unit, Baixo Mondego Local Health Unit, Figueira da Foz, PRT.
Andreia Vieira da CruzFamily and Community Medicine, Buarcos Family Health Unit, Baixo Mondego Local Health Unit, Figueira da Foz, PRT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anomalous aortic origin of the right coronary artery (R-ACAOS) is a rare congenital anomaly associated with an increased risk of myocardial ischemia and, in some cases, sudden cardiac death, particularly when the anomalous artery follows an interarterial course between the aorta and the pulmonary artery. This report presents the case of a 71-year-old man with nocturnal palpitations and atypical chest discomfort as the main symptoms, without syncope. Holter monitoring revealed first- and second-degree atrioventricular (AV) block. Coronary computed tomography angiography (CCTA) identified R-ACAOS with a short interarterial trajectory between the aorta and pulmonary arteries, with no significant ostial narrowing or other high-risk anatomical features. Cardiac magnetic resonance (CMR) demonstrated inferior wall ischemia. The patient was referred to the cardiothoracic surgery department, where surgical unroofing was planned to eliminate potential dynamic compression and achieve complete symptom resolution. This case underscores the importance of prompt recognition of R-ACAOS, even in elderly patients, and highlights the crucial role of coordinated care between primary and specialized services. Comprehensive anatomical evaluation using CCTA or cardiac MRI is essential to assess risk and guide appropriate management. Surgical unroofing remains a reliable and effective intervention for symptomatic patients with interarterial R-ACAOS; thus, it was selected as the optimal therapeutic approach.

Indexed as

cardiac ct angiographycoronary artery anomaliesearly diagnosisinterarterial coursemyocardial ischemiaprimary careright coronary arterysudden cardiac deathunroofing surgery

Identifiers

PMID41425674
PMCPMC12718116

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Registered trials

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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.