ArticleCureus2026
Minimally Invasive Coronary Artery Bypass With Composite Arterial Graft for High-Bifurcation Anomalous Aortic Origin of Right Coronary Artery.
Article in Cureus, 2026. 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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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.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Anomalous aortic origin of the right coronary artery (AAORCA) following an interarterial path can lead to myocardial ischemia and sudden cardiac death (SCD), necessitating surgical management in patients with symptoms. We present a case of a 35-year-old male experiencing exertional angina with reduced functional capacity. Computed tomography coronary angiography (CTCA) demonstrated the right coronary artery (RCA) arising from the left coronary cusp, characterized by a brief intramural segment, dangerous interarterial course, and elevated bifurcation creating dual RCA/posterior descending artery (PDA) branches. The intricate branching anatomy, combined with the abbreviated intramural portion, made unroofing an unfavorable option. We performed a right-sided minimally invasive direct coronary artery bypass (MIDCAB) employing a right internal mammary artery (RIMA)-radial artery composite graft to the PDA, accompanied by proximal native vessel ligation. Successful revascularization was achieved with graft patency confirmed on postoperative imaging, absence of myocardial infarction, and smooth recovery leading to discharge on postoperative day two. This experience suggests that composite arterial grafting through a minimally invasive technique provides effective symptom resolution in anatomically challenging AAORCA cases where conventional surgical approaches are not optimal.
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