Anomalous Aortic Origin of the Right Coronary Artery: A Case Report and Review of the Literature

  • Juthipong Benjanuwattra Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
  • Mahmoud Abdelnabi Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA; Cardiology and Angiology Unit, Department of Clinical and Experimental Internal Medicine, Alexandria University, Alexandria, Egypt
  • Natnicha Leelaviwat Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
  • Annia Cavazos Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
  • Pooja Sethi Department of Cardiology, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
  • Leigh Ann Jenkins Department of Cardiology, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
DOI: https://doi.org/10.12890/2022_003692

Keywords

Anomalous aortic origin of the right coronary artery, AAORCA, unroofing, coronary artery bypass graft, reimplantation

Abstract

Patients with symptomatic or malignant anomalous aortic origin of the right coronary artery (AAORCA) warrant surgical treatment to decrease morbidity and mortality. Various surgical techniques have been implemented including unroofing, reimplantation and bypass grafting. A 43-year-old woman presented with intermittent chest pain due to malignant AAORCA and received saphenous bypass grafting, instead of reimplantation, due to intraoperative spasm.

VIEW THE ENTIRE ARTICLE

References

  • Suryanarayana P, Lee JZ, Abidov A, Lotun K. Anomalous right coronary artery: case series and review of literature. Cardiovasc Revasc Med 2015;16(6):362–366.
  • Law T, Dunne B, Stamp N, Ho KM, Andrews D. Surgical results and outcomes after reimplantation for the management of anomalous aortic origin of the right coronary artery. Ann Thorac Surg 2016;102(1):192–198.
  • Brothers JA, Frommelt MA, Jaquiss RDB, Myerburg RJ, Fraser CD, Jr., Tweddell JS. Expert consensus guidelines: anomalous aortic origin of a coronary artery. J Thorac Cardiovasc Surg 2017;153(6):1440–1457.
  • Padalino MA, Jegatheeswaran A, Blitzer D, Ricciardi G, Guariento A. Surgery for anomalous aortic origin of coronary arteries: technical safeguards and pitfalls. Front Cardiovasc Med 2021;8:626108.
  • Feins EN, DeFaria Yeh D, Bhatt AB, Stefanescu A, Youniss MA, Ghoshhajra BB, et al. Anomalous aortic origin of a coronary artery: surgical repair with anatomic- and function-based follow-up. Ann Thorac Surg 2016;101(1):169–175; discussion 175–176.
  • Cho SH, Joo HC, Yoo KJ, Youn YN. Anomalous origin of right coronary artery from left coronary sinus: surgical management and clinical result. Thorac Cardiovasc Surg 2015;63(5):360–366.
  • Fedoruk LM, Kern JA, Peeler BB, Kron IL. Anomalous origin of the right coronary artery: right internal thoracic artery to right coronary artery bypass is not the answer. J Thorac Cardiovasc Surg 2007;133(2):456–460.
  • Sabik JF, 3rd, Lytle BW, Blackstone EH, Khan M, Houghtaling PL, Cosgrove DM. Does competitive flow reduce internal thoracic artery graft patency? Ann Thorac Surg 2003;76(5):1490–1496; discussion 1497.
  • Imamura Y, Kin H, Goto T, Koizumi J. Coronary artery bypass grafting for an anomalous origin of the right coronary artery: is it a valid surgical procedure? Gen Thorac Cardiovasc Surg 2021;69(7):1125–1128.
  • Saleem S, Syed M, Elzanaty AM, Nazir S, Changal K, Gul S, et al. Interarterial course of anomalous right coronary artery: role of symptoms and surgical outcomes. Coron Artery Dis 2020;31(6):538–544.
  • Izumi K, Wilbring M, Stumpf J, Matschke K, Kappert U. Direct reimplantation as an alternative approach for treatment of anomalous aortic origin of the right coronary artery. Ann Thorac Surg 2014;98(2):740–742.
  • Goda M, Meuris B, Meyns B. Right coronary translocation for anomalous origin of right coronary artery from the left coronary sinus. Interact Cardiovasc Thorac Surg 2011;13(2):201–202.
  • Cubero A, Crespo A, Hamzeh G, Cortes A, Rivas D, Aramendi JI. Anomalous origin of right coronary artery from left coronary sinus-13 cases treated with the reimplantation technique. World J Pediatr Congenit Heart Surg 2017;8(3):315–320.
  • Gaillard M, Pontailler M, Danial P, Moreau de Bellaing A, Gaudin R, du Puy-Montbrun L, et al. Anomalous aortic origin of coronary arteries: an alternative to the unroofing strategy. Eur J Cardiothorac Surg 2020;58(5):975–982.
  • Inoue Y, Kawajiri H, Suzuki S, Tamura T. Novel beating heart repair for anomalous origin of right coronary artery. Ann Thorac Surg 2013;96(6):e141–e143.
  • Mery CM, De León LE, Molossi S, Sexson-Tejtel SK, Agrawal H, Krishnamurthy R, et al. Outcomes of surgical intervention for anomalous aortic origin of a coronary artery: a large contemporary prospective cohort study. J Thorac Cardiovasc Surg 2018;155(1):305–319.e4.
  • Tavaf-Motamen H, Bannister SP, Corcoran PC, Stewart RW, Mulligan CR, DeVries WC. Repair of anomalous origin of right coronary artery from the left sinus of Valsalva. Ann Thorac Surg 2008;85(6):2135–2136.
  • Reul RM, Cooley DA, Hallman GL, Reul GJ. Surgical treatment of coronary artery anomalies: report of a 37 1/2-year experience at the Texas Heart Institute. Tex Heart Inst J 2002;29(4):299–307.
  • Ibraheem WI, Abass OA, Toema AM, Yehia AM. Coronary artery bypass grafting experience in the setting of an anomalous origin of the right coronary artery from the left sinus of Valsalva: midterm results. J Card Surg 2019;34(11):1162–1171.
  • Reddy RC, Takahashi M, Beckles DL, Filsoufi F. Anomalous right coronary artery from the left sinus: a minimally invasive approach. Eur J Cardiothorac Surg 2012;41(2):287–290.
  • Heo W, Min HK, Kang DK, Jun HJ, Hwang YH, Lee HC. Three different situations and approaches in the management for anomalous origin of the right coronary artery from the left coronary sinus: case report. J Cardiothorac Surg 2014;9:21.
  • Gaudino M, Robinson NB, Hameed I, Girardi LN. Coronary bypass with the free internal thoracic artery to treat anomalous right coronary artery. Ann Thorac Surg 2020;109(5):e371–e373.

    • Published: 2022-12-16

    Issue: 2022: Vol 9 No 12 (view)

    Section: Articles

    How to cite:
    1.
    Benjanuwattra J, Abdelnabi M, Leelaviwat N, Cavazos A, Sethi P, Jenkins LA. Anomalous Aortic Origin of the Right Coronary Artery: A Case Report and Review of the Literature. EJCRIM 2022;9 doi:10.12890/2022_003692.

    Most read articles by the same author(s)