Evidence map›Paper›PMID 41902820›Full record

ArticleJACC. Case reports2026

Acute Non-Dominant Right Coronary Artery Occlusion After Bentall Surgery Presenting With Aslanger Pattern.

Miguel López-Tejada, Alberto Piserra-López, Carlos Acosta-Sánchez, Gemma Sánchez-Espín, Marina Gallego-Molina, Manuel Luna-Morales, Carlos Martín-Alfaro, Cristian Peláez-Berdún, Juan H Alonso-Briales, Víctor M Becerra-Muñoz

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. 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. Article
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

10 authors.

Miguel López-TejadaHeart Area-Cardiology Unit, Virgen de la Victoria University Hospital-IBIMA BIONAND Platform, Málaga, Spain.
Alberto Piserra-LópezHeart Area-Cardiology Unit, Virgen de la Victoria University Hospital-IBIMA BIONAND Platform, Málaga, Spain. Electronic address: alberto.piserra.lopez@gmail.com.
Carlos Acosta-SánchezHeart Area-Cardiology Unit, Virgen de la Victoria University Hospital-IBIMA BIONAND Platform, Málaga, Spain; Biomedical Research Networking Center on Cardiovascular Diseases (CIBER-CV), Madrid, Spain.
Gemma Sánchez-EspínHeart Area-Cardiology Unit, Virgen de la Victoria University Hospital-IBIMA BIONAND Platform, Málaga, Spain; Biomedical Research Networking Center on Cardiovascular Diseases (CIBER-CV), Madrid, Spain.
Marina Gallego-MolinaDepartment of Anesthesiology, Virgen de la Victoria University Hospital-IBIMA BIONAND Platform, Málaga, Spain.
Manuel Luna-MoralesHeart Area-Cardiology Unit, Virgen de la Victoria University Hospital-IBIMA BIONAND Platform, Málaga, Spain; Biomedical Research Networking Center on Cardiovascular Diseases (CIBER-CV), Madrid, Spain.
Carlos Martín-AlfaroHeart Area-Cardiology Unit, Virgen de la Victoria University Hospital-IBIMA BIONAND Platform, Málaga, Spain; Biomedical Research Networking Center on Cardiovascular Diseases (CIBER-CV), Madrid, Spain.
Cristian Peláez-BerdúnHeart Area-Cardiology Unit, Virgen de la Victoria University Hospital-IBIMA BIONAND Platform, Málaga, Spain.
Juan H Alonso-BrialesHeart Area-Cardiology Unit, Virgen de la Victoria University Hospital-IBIMA BIONAND Platform, Málaga, Spain; Biomedical Research Networking Center on Cardiovascular Diseases (CIBER-CV), Madrid, Spain.
Víctor M Becerra-MuñozHeart Area-Cardiology Unit, Virgen de la Victoria University Hospital-IBIMA BIONAND Platform, Málaga, Spain; Biomedical Research Networking Center on Cardiovascular Diseases (CIBER-CV), Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute coronary occlusion is an uncommon but potentially catastrophic complication after a Bentall procedure. Atypical electrocardiographic presentations may delay recognition. CASE SUMMARY: A 55-year-old man underwent elective Bentall surgery for severe aortic regurgitation and ascending aortic aneurysm. After an initially uneventful postoperative course, he developed sudden cardiac arrest on postoperative day 3. After resuscitation, electrocardiography demonstrated an Aslanger pattern. Urgent coronary angiography revealed acute ostial occlusion of a nondominant right coronary artery, successfully treated with percutaneous coronary intervention, with subsequent clinical recovery. DISCUSSION: Coronary obstruction after Bentall surgery, although rare, should be promptly considered in cases of unexpected postoperative instability. This case underscores the diagnostic value of high-risk electrocardiographic patterns beyond classic ST-segment elevation and highlights the clinical relevance of nondominant right coronary artery involvement. TAKE-HOME MESSAGES: Unexpected instability after Bentall surgery should prompt suspicion of coronary obstruction. Recognition of the Aslanger pattern may facilitate timely life-saving revascularization.

Indexed as

acute coronary occlusionAslanger patternBentall procedurecase reportnondominant right coronary arteryurgent percutaneous coronary intervention

Identifiers

PMID41902820
PMCPMC13154057

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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.