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Anomalous Origin and Course of the Right Coronary Artery Misdiagnosed as Catheter-Induced Ascending Aortic Dissection

Year: 2025

Type: article

Abstract: A 55-year-old man was admitted for elective coronary angiography because of exertional chest pain. The angiogram revealed significant disease in the left anterior descending artery and the right coronary artery (RCA). Catheter-induced iatrogenic aortic dissection from the RCA ostium extending into the ascending aorta was suspected. During surgery, there were no signs of aortic dissection, but an anomalous origin of the RCA with an interarterial and intramural course was detected. The patient underwent a successful coronary artery bypass graft surgery.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.103282

Authors: Martins Erglis, Uldis Strazdins, Sanda Jegere, Arnis Laduss, Andrejs Erglis

Institutions: Pauls Stradiņš Clinical University Hospital, University of Latvia

Language: English

Topic: Coronary Artery Anomalies

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850