ArticleJACC. Case reports2026
Coronary Artery Bypass Grafting for Anomalous RCA From LAD With Proximal LAD Stenosis.
Article in JACC. Case reports, 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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6 authors.
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Abstract
backgroundAn anomalous right coronary artery (RCA) from the left anterior descending artery (LAD) is rare. CASE SUMMARY: A 63-year-old man with exertional epigastric discomfort had an RCA from the mid-LAD, severe proximal LAD stenosis upstream from the anomalous takeoff, LAD-RCA bifurcation disease, and obtuse marginal disease. The heart team selected coronary artery bypass grafting (CABG) to avoid shared-inflow jeopardy and achieve complete revascularization. Grafting used left internal mammary artery-LAD, sequential saphenous vein graft-diagonal branch-first obtuse marginal, and saphenous vein graft-anomalous RCA; recovery was uncomplicated. DISCUSSION: Severe proximal LAD stenosis can threaten both LAD and RCA territories in this anatomy. Multimodality imaging guided individualized CABG. TAKE-HOME MESSAGES: Proximal LAD stenosis in anomalous RCA-from-LAD anatomy can create shared LAD-RCA inflow risk. Coronary computed tomographic angiography and angiography define the anomalous course and procedural hazards; CABG can restore independent inflow in complex multivessel disease.
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