AccScience Publishing / BH / Online First / DOI: 10.36922/BH025040002
CASE REPORT

A clinical report on the anomalous aortic origin of the right coronary artery

Neda H. Noori1 Troy Cook2 Joyce M. Louis3 Nicole Jucoski4 Evan M. Buddendorff5 Syed A. A. Rizvi6* Neda Imam7 Zafar Qureshi8*
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1 Nova Southeastern University College of Osteopathic Medicine, Fort Lauderdale, Florida, United States of America
2 South University, West Palm Beach, Florida, United States of America
3 School of Health Science, Miami Dade College, Miami, Florida
4 Barry University, Miami Shores, Florida, United States of America
5 Lincoln Memorial Debusk College of Osteopathic Medicine, Knoxville, Tennessee, United States of America
6 College of Biomedical Sciences, Larkin University, Miami, Florida, United States of America
7 Northwestern Medicine Huntley Hospital, Huntley, Illinois, United States of America
8 UMC Free Clinic, Miami Gardens, Florida, United States of America
Brain & Heart, 025040002 https://doi.org/10.36922/BH025040002
Received: 21 January 2025 | Revised: 12 April 2025 | Accepted: 16 April 2025 | Published online: 20 May 2025
© 2025 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Anomalous aortic origin of the right coronary artery (AAORCA) is a rare congenital anomaly where the right coronary artery originates abnormally from the aorta, posing risks such as myocardial ischemia and sudden cardiac death, particularly in young athletes. Symptoms range from being asymptomatic to exertional signs such as dizziness or chest pain. Diagnosis is typically made using coronary computed tomography angiography, the gold standard for detailed assessment. Treatment depends on symptom severity, ranging from medical management to surgical options such as unroofing, reimplantation, or bypass grafting. This report presents a case of a 9-year-old patient diagnosed with AAORCA, exhibiting mild symptoms in the absence of exertional intolerance. This case emphasizes the importance of imaging, regular follow-ups, and early diagnosis. Personalized treatment and further research are crucial for improving outcomes and reducing the risk of sudden cardiac death in AAORCA patients.

Keywords
Anomalous aortic origin of the right coronary artery
Congenital abnormality
Sudden cardiac death
Funding
None.
Conflict of interest
The authors declare no conflicts of interest.
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Brain & Heart, Electronic ISSN: 2972-4139 Published by AccScience Publishing