Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! By
An Anomalous Right Coronary Artery Originating From the Left Anterior Descending Artery, a Case Report of Successful Percutaneous Coronary Intervention; Pakitusi Desinioji Vainikine Arterija, Prasidedanti Is Kairiosios Priekines Nusileidzianciosios Arterijos: Sekmingos Perkutanines Koronarines Intervencijos Atvejo Aprasymas Publisher



E Nematipour EBRAHIM ; S Shirani SHAPOUR ; Am Shekari Arash MIR ; Sm Ghorashi Seyyed MOJTABA
Authors

Source: Acta Medica Lituanica Published:2025


Abstract

. Background: An anomalous right coronary artery (RCA) originating from the left anterior descending artery (LAD) is a rare subtype of single coronary artery ostium. Revascularization in such cases is challenging due to the large feeding territory or the potential for compression by an adjacent vessel. Case description: We report the case of a 57-year-old woman who presented to our hospital with exertional chest pain and dyspnea. An anomalous RCA was identified, originating from the mid-portion of the LAD. Coronary angiography and coronary multi-detector computed tomography revealed a significant stenosis at the LAD just proximal to the RCA bifurcation. A successful percutaneous coronary intervention was performed to revascularize the LAD stenosis. The patient was discharged in good general condition two days later. Conclusions: Despite the rarity of coronary anomalies, future studies could be undertaken to assess the potential benefits of screening, particularly in specific populations such as professional athletes. © 2025 Elsevier B.V., All rights reserved.
Related Docs
View other Related Docs
1. Anomalous Origin of Right Coronary Artery From the Left Anterior Descending Artery: A Case Report, Scientific Journal of Kurdistan University of Medical Sciences (2022)
2. Anomalous Origin of the Right Coronary Artery From the Mid-Portion of the Left Anterior Descending Artery in a Patient With Single Left Coronary Artery: A Rare Coronary Artery Anomaly and Review of Literature, Iranian Journal of Radiology (2017)
3. Double Left Anterior Descending Artery Arising From the Left and Right Coronary Arteries in a Patient Undergoing Preoperative Evaluation Before Elective Noncardiac Surgery, Iranian Heart Journal (2016)
Experts (# of related papers)
View all Related Experts
Kaveh Hosseini (2)
Ali Mohammad Haji Zeynali Biyooki (2)
Other Related Docs
4. Unusual Cause of Chest Pain and Dysphagia in a Middle-Aged Woman With Right Aortic Arch and Aberrant Left Subclavian Artery, Annals of Vascular Surgery - Brief Reports and Innovations (2024)
5. Anomalous Trifurcation of the Left Main Coronary Artery: A Case Report, Iranian Heart Journal (2017)
6. Cardiac Imaging Findings in Anomalous Origin of the Coronary Arteries From the Pulmonary Artery; Narrative Review of the Literature, Echo Research and Practice (2022)
7. Anomalous Left Brachiocephalic Vein: Important Vascular Anomaly Concomitant With Congenital Anomalies and Heart Diseases, Folia Morphologica (Poland) (2017)
8. Challenging Case of Muscle Bridge; a 15-Year Follow-Up of a Patient, Caspian Journal of Internal Medicine (2020)
9. Predictors of Major Adverse Cardiac Events Following Elective Stenting of Large Coronary Arteries, Indian Heart Journal (2018)
10. Diagnostic Myocardial Perfusion Imaging to Detect the Anatomical Location of Coronary Artery Disease Compared With Invasive Coronary Angiography, Iranian Heart Journal (2019)
11. Spontaneous Coronary Artery Dissection and Associated Myocardial Bridging: Current Evidence From Cohort Study and Case Reports, Medical Hypotheses (2019)
12. Takotsubo Cardiomyopathy Following Recurrent Doses of Albuterol Due to Asthma Attack: A Very Rare Case Report, Future Cardiology (2016)
13. Clinical Utility of Percutaneous Coronary Intervention on Left Anterior Descending Stenosis in the Setting of Third-Degree Atrioventricular Block Due to Inferior Myocardial Infarction: A Case Report, European Heart Journal - Case Reports (2018)
14. Iatrogenic Acute Ascending Aortic Dissection With Intramural Hematoma During Coronary Artery Stenting: A Case Report, Frontiers in Surgery (2017)
15. Case Report: Multimodal Imaging Diagnosis of a Giant Coronary Artery Fistula: A Report of Two Cases, Frontiers in Cardiovascular Medicine (2022)
16. Heart Murmurs Detected During Newborn Examination: A Case Report Highlighting the Need for Caution, Iranian Heart Journal (2025)
17. Pediatric Coronary Cameral Fistula in a Structurally Normal Heart: A Case Report and Review of the Literature, Journal of Medical Case Reports (2024)
18. Successful Angioplasty of Left Vertebral Artery and Right Subclavian Artery Via Retrograde Approach, Journal of Clinical and Diagnostic Research (2017)
19. Association of Cardiac Anomalies in Pediatric Dextrocardia: A Ct Angiographic Study, Iranian Journal of Pediatrics (2024)
20. Left Main Coronary Artery Atresia in a 2-Year-Old Toddler With De Novo Heart Failure: Case Report and Review of the Literature, Frontiers in Cardiovascular Medicine (2022)