Evidence map›Paper›PMID 41949507›Full record

ArticleJACC. Case reports2026

A Rare Anomalous Origin of the Right Coronary Artery From Mid-Left Anterior Descending Artery: Do Not Rush Into Action.

Karim Elbasha, Stephan Fichtlscherer, Holger Nef, Nader Mankerious

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

4 authors.

Karim ElbashaHeart Centre, Segeberger Kliniken GmbH, Bad Segeberg, Germany; Cardiology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt. Electronic address: karim.elbasha@segebergerkliniken.de.
Stephan FichtlschererHeart Centre, Segeberger Kliniken GmbH, Bad Segeberg, Germany.
Holger NefHeart Centre, Segeberger Kliniken GmbH, Bad Segeberg, Germany.
Nader MankeriousHeart Centre, Segeberger Kliniken GmbH, Bad Segeberg, Germany; Cardiology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary artery anomalies represent the second leading cause of sudden cardiac death among young athletes, with limited evidence for the management of symptomatic individuals. CASE SUMMARY: We present a case of a single coronary artery anomaly; the right coronary artery (RCA) originating from the mid-left anterior descending artery (LAD). Further evaluation with stress imaging showed no evidence of stress-induced ischemia. DISCUSSION: This represents a rare case of an anomalous origin and course of the RCA from the mid-LAD with a malignant interarterial course. The initial diagnosis was an ostial RCA chronic total occlusion with presumed retrograde filling from the LAD. However, a careful review of the angiogram demonstrated antegrade rather than retrograde flow. The diagnostic uncertainty was ultimately resolved by computed tomography coronary angiography. TAKE-HOME MESSAGE: In case of suspected coronary anomalies or an unclear coronary course and/or origin, a computed tomography angiography is strongly recommended.

Indexed as

computed tomographycoronary angiographycoronary vessel anomaly

Identifiers

PMID41949507
PMCPMC13154089

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.