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Cardiology585 papers

Congenital anomaly of coronary artery

Last edited: 4/23/2026

Overview

Congenital anomalies of coronary arteries involve abnormal origin or course of coronary arteries, often leading to significant clinical manifestations including ischemia, sudden cardiac death, and exercise-induced symptoms 1 2 10 22.

Diagnosis

Key Diagnostic Criteria: Anomalous origin from non-coronary sinuses, interarterial course, intramural segments, and fistulas 1 2 16 22.

Recommended Tests:

- Echocardiography: Initial screening, especially transthoracic echocardiography (TTE) for anomalous origins 16. - Coronary CT Angiography (CCTA): Detailed anatomical assessment, identifying intramural segments and complex courses 13 22 32 48. - Cardiac MRI: Functional evaluation and detailed anatomical characterization 18 33. - Coronary Angiography: Definitive diagnosis, especially for surgical planning 6 18.

Grading: Risk stratification based on anatomical features (e.g., interarterial course, intramural segments) and functional implications 1 13 40.

Management

First-Line Treatments:

- Surgical Repair: For high-risk anomalies (interarterial course, intramural segments) to prevent ischemia and sudden death 1 3 7 27 46. - Endovascular Interventions: Less invasive options for certain anomalies, particularly fistulas 44 56.

Adjunctive Treatments:

- Medical Management: Beta-blockers, antiplatelet therapy in selected cases to manage symptoms and reduce risk 11. - Lifestyle Modifications: Exercise restriction, particularly in symptomatic patients 28.

Special Populations

Pediatrics: Early surgical intervention for high-risk anomalies to prevent long-term complications 27 31.

Elderly: Careful risk stratification; surgical options considered based on anatomical severity and functional impact 1 10.

Comorbidities: Management tailored to coexisting conditions; surgical risks need thorough evaluation 1 10 22.

Key Recommendations

Perform comprehensive imaging (CCTA, MRI) for detailed anatomical assessment of coronary anomalies to guide management decisions (Evidence: Moderate 13 32).

Consider surgical repair for patients with high-risk anatomical features (interarterial course, intramural segments) to prevent sudden cardiac events (Evidence: Moderate 1 7 27).

Use echocardiography as an initial screening tool, with definitive diagnosis confirmed by coronary angiography when surgical intervention is contemplated (Evidence: Moderate 16).

Tailor management in pediatric patients to prioritize early surgical correction for high-risk anomalies to avoid long-term sequelae (Evidence: Moderate 27 31).

Evaluate elderly patients individually, balancing surgical risks with anatomical severity and functional impact (Evidence: Expert opinion).

References

Showing 100 most recent of 308 indexed papers.

1 Sarilar CC, Cicek S. AAOCA: Surgical treatment options. Asian cardiovascular & thoracic annals 2026. link 2 Xinghui L, Xin W, Xiaoming Z, Yahong Q, Rong W. The role of multimodality imaging in diagnosing an adult-type anomalous origin of the left coronary artery from the pulmonary artery: A case report. The Journal of international medical research 2026. link 3 Kawabata T, Kuroko Y, Kotani Y, Baba K, Kasahara S. Surgery for coronary anomaly: Intramural single trunk between the great arteries. Asian cardiovascular & thoracic annals 2026. link 4 Albano GD, Scalzo G, Malta G, De Lisi G, Argo A, Maresi E et al.. Juvenile sudden cardiac death due to congenital coronary ostial valve-like ridges: A case report and literature review. The Medico-legal journal 2025. link 5 Gherca S, Leibundgut G, Zubizarreta-Oteiza J, Haaf P. A coronary coronary-to-coronary fistula around the main pulmonary artery. The international journal of cardiovascular imaging 2025. link 6 Yang M, Bloomfield GC, Case BC, Satler LF, Waksman R, Ben-Dor I. Procedural characteristics of coronary angiography in patients with anomalous aortic origin of a coronary artery. Cardiovascular revascularization medicine : including molecular interventions 2025. link 7 Angelini P, Uribe C, Corno AF. Pathophysiology and Treatment of Intraseptal-Course Left Coronary Anomaly: Surgery for All?. Pediatric cardiology 2025. link 8 Bishnoi A, Mainwaring RD, Seehofnerova A, Hanley FL. Intraconal Left Main Coronary Artery Originating From the Left Sinus of Valsalva. World journal for pediatric & congenital heart surgery 2025. link 9 Goswami S, Deora S, Rajagopal R, Sharma S. Coronary bronchial fistula - A rare incidental finding. Asian cardiovascular & thoracic annals 2023. link 10 Fiorentini C, Leone O, Bronzetti G, Pascali JP, Graziosi M, Pelotti S et al.. Sudden cardiac death related to left coronary artery anomalies including hypoplasia and anomalous origin with retro-aortic course. Legal medicine (Tokyo, Japan) 2023. link 11 Angelini P, Uribe C. Critical update and discussion of the prevalence, nature, mechanisms of action, and treatment options in potentially serious coronary anomalies. Trends in cardiovascular medicine 2023. link 12 Na J, Chen X, Zhen Z, Gao L, Yuan Y. Anomalous right coronary artery originating from the aorta: a series of nine pediatric cases. BMC pediatrics 2023. link 13 Hatoum H, Krishnamurthy R, Parthasarathy J, Flemister DC, Krull CM, Walter BA et al.. Flow Dynamics in Anomalous Aortic Origin of a Coronary Artery in Children: Importance of the Intramural Segment. Seminars in thoracic and cardiovascular surgery 2022. link 14 Ku L, Wang J, Song L, Ma X. A newly described variation of normal coronary: Dual origin of the circumflex artery from the main stem of the left coronary artery. Journal of cardiac surgery 2022. link 15 Moraitis SD, Agrafiotis AC, Strempelas P, Kagialaris G, Tsipas P. Double right coronary artery: a plea for a standardized nomenclature. Acta chirurgica Belgica 2022. link 16 Tessitore A, Caiffa T, Bobbo M, D'Agata Mottolese B, Barbi E, Chicco D. Anomalous aortic origin of coronary artery: For a challenging diagnosis, a transthoracic echocardiogram is recommended. Acta paediatrica (Oslo, Norway : 1992) 2022. link 17 Schmiady M, Dave H, Rüschoff JH, Steindl K, Hübler M, Schweiger M. Single coronary artery arising from an atretic pulmonary trunk. Asian cardiovascular & thoracic annals 2021. link 18 Medepalli LC, Medepalli VM, Scully TA. The complementary nature of multimodal imaging in the management of an anomalous aortic origin of the right coronary artery from the left coronary cusp. Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology 2021. link 19 Ma K, Qi L, Yuan J, Zhang B, Yuan X, Fan T et al.. Anatomic Repair of Left Main Coronary Artery Atresia: Coronary Ostioplasty With Autologous Pulmonary Artery. The Canadian journal of cardiology 2021. link 20 López-Lluva MT, Abellán-Huerta J, Sánchez-Pérez I, Pérez Díaz P, Lozano Ruíz-Poveda F. An Unusual Entity: Woven Coronary Artery Anomaly. The Journal of invasive cardiology 2020. link 21 Bagarhatta M, Agarwal R, Rajagopal R. Isolated single coronary artery from nonadjacent sinus of Valsalva. Journal of cardiac surgery 2020. link 22 Mizrahi M, Mery CM, Hasbani K, Fraser CD, Beckerman Z. Anomalous Aortic Origin of a Coronary Artery: Surgical Emergency?. The Annals of thoracic surgery 2020. link 23 Duggan J, Parker W, Reoma JL, Richey S, Huddleston C. Correcting a rare Congenital Coronary Anomaly in an Adult-A Case Report. World journal for pediatric & congenital heart surgery 2020. link 24 Zujs V, Chevtchik O, Schachner T, Senoner T, Feuchtner GM. Intracavitary right coronary artery - Or just a wrap? A cardiac CT imaging series. Journal of cardiovascular computed tomography 2020. link 25 Lachhab F, Amri R, Mahfoudi L, Moughil S. Abnormal Origin of the Left Coronary Artery From the Pulmonary Artery Discovered at Age 67: What to Do?. World journal for pediatric & congenital heart surgery 2020. link 26 Vinnakota A, Stewart RD, Najm H, Blackstone EH, Ghobrial J, Pettersson GB. Anomalous Aortic Origin of the Coronary Arteries: A Novel Unroofing Technique in an Adult Cohort. The Annals of thoracic surgery 2019. link 27 Sachdeva S, Frommelt MA, Mitchell ME, Tweddell JS, Frommelt PC. Surgical unroofing of intramural anomalous aortic origin of a coronary artery in pediatric patients: Single-center perspective. The Journal of thoracic and cardiovascular surgery 2018. link 28 Palmieri V, Gervasi S, Bianco M, Cogliani R, Poscolieri B, Cuccaro F et al.. Anomalous origin of coronary arteries from the "wrong" sinus in athletes: Diagnosis and management strategies. International journal of cardiology 2018. link 29 King NM, Tian DD, Munkholm-Larsen S, Buttar SN, Chow V, Yan T. The Aberrant Coronary Artery - The Management Approach. Heart, lung & circulation 2018. link 30 Nordmeyer S, Schmitt B, Nasseri B, Alexi-Meskishvili V, Kuehne T, Berger F et al.. Presence of reduced regional left ventricular function even in the absence of left ventricular wall scar tissue in the long term after repair of an anomalous left coronary artery from the pulmonary artery. Cardiology in the young 2018. link 31 Summers MR, Najm H, Gentry Iii JL, Jaber WA. Exercise N-13 cardiac positron emission tomography myocardial perfusion imaging detecting ischemia in an adult patient with anomalous aortic origin of the left main coronary artery from the right coronary sinus. Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology 2018. link 32 Cheezum MK, Ghoshhajra B, Bittencourt MS, Hulten EA, Bhatt A, Mousavi N et al.. Anomalous origin of the coronary artery arising from the opposite sinus: prevalence and outcomes in patients undergoing coronary CTA. European heart journal. Cardiovascular Imaging 2017. link 33 Hansen JW, Ayyoub A, Yager N, Waxman S. Congenital single coronary artery: A rare anatomic variant. Cardiovascular revascularization medicine : including molecular interventions 2017. link 34 Brenner E, Pechriggl E, Zwierzina M, Hörmann R, Moriggl B. Case report: a common trunk of the coronary arteries. Surgical and radiologic anatomy : SRA 2017. link 35 Madan N, Lorber R, Nento D, Mumtaz M, Singh HR. Is Interarterial Course a Requisite for Ischemia in Anomalous Origin of Coronary Arteries?. World journal for pediatric & congenital heart surgery 2017. link 36 Ahmad W, Majd P, Luebke T, Gawenda M, Brunkwall JS. Clinical outcome after surgical and endovascular treatment of symptomatic persistent sciatic artery with review of the literature and reporting of three cases. Vascular 2016. link 37 Takazawa I, Kawahito K, Sugaya A, Yokota A, Hoshide S, Kario K et al.. Catastrophic myocardial ischemia resulting from a left coronary artery anomaly with an origin in the right sinus of Valsalva. General thoracic and cardiovascular surgery 2016. link 38 Girish MP, Gupta MD, Chaturvedi V, Gupta A, Sethi S. Ostial atresia of left circumflex coronary artery arising from non-coronary sinus: a combination of rare anomalies. Cardiovascular intervention and therapeutics 2016. link 39 Hata Y, Kinoshita K, Kudo K, Ikeda N, Nishida N. Anomalous origin of the right coronary artery from the left coronary sinus with an intramural course: comparison between sudden-death and non-sudden-death cases. Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology 2015. link 40 Ashrafpoor G, Danchin N, Houyel L, Ramadan R, Belli E, Paul JF. Anatomical criteria of malignancy by computed tomography angiography in patients with anomalous coronary arteries with an interarterial course. European radiology 2015. link 41 Cho SH, Joo HC, Yoo KJ, Youn YN. Anomalous Origin of Right Coronary Artery from Left Coronary Sinus: Surgical Management and Clinical Result. The Thoracic and cardiovascular surgeon 2015. link 42 Haddad LM, Magill HL, Sathanandam SK. Management of anomalous circumflex coronary artery from the neo-pulmonary artery in an adolescent following neonatal arterial switch operation. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions 2015. link 43 Adebo D, Jacobson Z, Harris MA. Anomalous origin of the right coronary artery from the posterior, non-coronary sinus of Valsalva diagnosed by cardiac magnetic resonance imaging. Cardiology in the young 2015. link 44 Freund JE, Yuko-Jowi C, Freund MW. Transcatheter embolization of a large aneurysm in a congenital coronary cameral fistula from the left coronary artery to the right ventricle. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions 2015. link 45 Unzué L, García E, Parra FJ, Palomo J, Friera LF, Solís J. Congenital atresia of the left main coronary artery in an adult: A rare anomaly with an unfavorable prognosis. Review of the literature. Cardiovascular revascularization medicine : including molecular interventions 2015. link 46 Mery CM, Lawrence SM, Krishnamurthy R, Sexson-Tejtel SK, Carberry KE, McKenzie ED et al.. Anomalous aortic origin of a coronary artery: toward a standardized approach. Seminars in thoracic and cardiovascular surgery 2014. link 47 Mandal S, Tadros SS, Soni S, Madan S. Single coronary artery anomaly: classification and evaluation using multidetector computed tomography and magnetic resonance angiography. Pediatric cardiology 2014. link 48 Nakasuka K, Ito S. "Wedge effect" in stenosed coronary artery assessed using a PressureWire: change in pressure waveform during percutaneous coronary intervention in a patient with a coronary artery-left ventricular fistula. Heart and vessels 2014. link 49 Gul M, Sen F, Sahan E, Maden O, Selcuk T. Right coronary artery emerging as a septal branch from the left anterior descending artery: a single coronary ostium anomaly. Herz 2014. link 50 Vaz C, Machado R, Rego D, Matos A, Almeida R. Hybrid approach in a case of persistent sciatic artery aneurysm. Annals of vascular surgery 2014. link 51 Wittlieb-Weber CA, Paridon SM, Gaynor JW, Spray TL, Weber DR, Brothers JA. Medium-term outcome after anomalous aortic origin of a coronary artery repair in a pediatric cohort. The Journal of thoracic and cardiovascular surgery 2014. link 52 Paparoni F, Algeri E, Degroote P, Richardson M, Lemesle G. A giant right coronary artery related to a small fistula to the coronary sinus. Cardiovascular revascularization medicine : including molecular interventions 2014. link 53 Malagò R, Barbiani C, Pezzato A, Taioli G, Mucelli RP. Uncommon double fistula between sinus node arteries and right atrium in a patient with atypical chest pain. The American journal of emergency medicine 2013. link 54 Zhu J, Liu Y, Zhu SB, Zhang Y. Anomalous origin of the left coronary artery from the pulmonary artery confirmed by 320-slice computed tomography. Pediatric cardiology 2013. link 55 Thankavel PP, Balakrishnan PL, Lemler MS, Ramaciotti C. Anomalous left main coronary artery origin from the right sinus of Valsalva: a novel echocardiographic screening method. Pediatric cardiology 2013. link 56 Tanabe Y, Tejima T, Sakurada H. Coronary artery fistula with a giant aneurysm treated by percutaneous transradial embolization. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions 2013. link 57 Kadakia J, Gupta M, Budoff MJ. Anomalous "High Take-Off" of the right coronary artery evaluated by coronary CT angiography. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions 2013. link 58 Martínez-Pascual M, Vicente-Vera T, Villegas-García M. Right coronary artery fistula to the coronary sinus. Cardiology in the young 2013. link 59 Coceani M, Ciardetti M, Pasanisi E, Schlueter M, Palmieri C, Neglia D et al.. Surgical correction of left coronary artery origin from the right coronary artery. The Annals of thoracic surgery 2013. link 60 Kettner M, Mall G, Bratzke H. Single coronary artery: a fatal R-I type. Forensic science, medicine, and pathology 2013. link 61 van de Sandt FM, Riezebos RK, van der Hulst VP. Ramus circumflexissimus--a rare coronary anomaly detected by coronary computed tomography angiography. Congenital heart disease 2013. link 62 Saritas B, Ozker E, Yoruker U, Vuran C, Turkoz R. Coronary artery fistula between left coronary artery and coronary sinus in newborn. The Thoracic and cardiovascular surgeon 2013. link 63 Uebleis C, Groebner M, von Ziegler F, Becker A, Rischpler C, Tegtmeyer R et al.. Combined anatomical and functional imaging using coronary CT angiography and myocardial perfusion SPECT in symptomatic adults with abnormal origin of a coronary artery. The international journal of cardiovascular imaging 2012. link 64 Chen YF, Chien TM, Chen CW, Lin CC, Lee CS. Double right coronary artery or split right coronary artery?. International journal of cardiology 2012. link 65 Lee HJ, Hong YJ, Kim HY, Lee J, Hur J, Choi BW et al.. Anomalous origin of the right coronary artery from the left coronary sinus with an interarterial course: subtypes and clinical importance. Radiology 2012. link 66 Cognet T, Séguéla PE, Acar P. One train may hide another: anomalous origin of the left coronary artery from the pulmonary artery revealed by supraventricular tachycardia. Cardiology in the young 2012. link 67 Carretero JM, Palacios JR, Prada FH. Single coronary artery-right ventricular fistula. Cardiology in the young 2012. link 68 Miller JA, Anavekar NS, El Yaman MM, Burkhart HM, Miller AJ, Julsrud PR. Computed tomographic angiography identification of intramural segments in anomalous coronary arteries with interarterial course. The international journal of cardiovascular imaging 2012. link 69 Yim DL, Hamilton MC, Tulloh RM. The sinister course of an intramural right coronary artery. Cardiology in the young 2012. link 70 Durán AC, Fernández B, Fernández MC, López-García A, Arqué JM, Sans-Coma V. Ectopic origin of coronary arteries from the aorta in Syrian hamsters (Mesocricetus auratus). Journal of comparative pathology 2012. link 71 Shoja MM, Harris A, Shoshani Y, Siesky B, Primus S, Loukas M et al.. Central retinal artery originating from the temporal short posterior ciliary artery associated with intraorbital external-to-internal carotid arterial anastomoses. Surgical and radiologic anatomy : SRA 2012. link 72 Fujimoto S, Kondo T, Orihara T, Sugiyama J, Kondo M, Kodama T et al.. Prevalence of anomalous origin of coronary artery detected by multi-detector computed tomography at one center. Journal of cardiology 2011. link 73 Tsigkas GG, Kasimis GA, Karantalis V, Nikas DJ, Alexopoulos DK. Anomalous origin of the left main coronary artery from the main pulmonary artery in an elderly patient. Journal of cardiac surgery 2011. link 74 Dattilo G, Lamari A, Messina F, Imbalzano E, Salamone I, Carerj S et al.. The chance finding at multislice computed tomography coronary angiography of an ectopic origin of the left circumflex coronary artery from the right sinus of Valsalva. International journal of cardiology 2011. link 75 Ayusawa M, Sato Y, Kanamaru H, Kunimasa T, Sumitomo N, Matsumoto N et al.. MDCT of the anomalous origin of the right coronary artery from the left sinus of Valsalva associated with bicuspid aortic valve. International journal of cardiology 2010. link 76 El Watidy AM, Ismail HH, Calafiore AM. Surgical management of right coronary artery-coronary sinus fistula causing severe mitral and tricuspid regurgitation. Interactive cardiovascular and thoracic surgery 2010. link 77 Korosoglou G, Heye T, Giannitsis E, Hosch W, Kauczor HU, Katus HA. Anomalous right coronary artery arising next to the left coronary ostium: unambiguous detection of the anatomy by computed tomography and evaluation of functional significance by cardiovascular magnetic resonance. International journal of cardiology 2010. link 78 De Giorgio F, Abbate A, Stigliano E, Capelli A, Arena V. Hypoplastic coronary artery disease causing sudden death. Report of two cases and review of the literature. Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology 2010. link 79 Tsioufis K, Latsios G, Tousoulis D, Kallikazaros I, Stefanadis C. Anomalous common origin of all coronary arteries with a common ostium from the left sinus of Valsalva. International journal of cardiology 2010. link 80 Karabay KO, Bağirtan B, Erdim R, Uysal E, Vural M. A rare congenital coronary artery anomaly: anomalous of the left anterior descending coronary artery arising from the right coronary artery and review of the literature. International journal of cardiology 2010. link 81 Capuñay C, Carrascosa P, Deviggiano A. MDCT detection of double right coronary artery arising from two separated ostia in the right sinus of Valsalva. International journal of cardiology 2010. link 82 Choi HY, Kim JW, Moon JM, Kim YJ, Choi CU, Lim HE et al.. Unusual dominant course of left circumflex coronary artery to right coronary artery territory with absent right coronary artery. Journal of cardiology 2010. link 83 Liu PI, Hsieh PL, Ohta I, Wu DK, Hsu JS, Chuang MT. Anomalous origin of the left anterior descending artery from the main pulmonary artery with multi-detector row computed tomography coronary angiography. International journal of cardiology 2010. link 84 Apitzsch J, Kühl HP, Mühlenbruch G, Mahnken AH. Unusual malignant coronary artery anomaly: results of coronary angiography, MR imaging, and multislice CT. Cardiovascular and interventional radiology 2010. link 85 Ozcan F, Maden O, Türkvatan A, Ozlü MF, Ozcan HN, Balbay Y. Demonstration of a very rare coronary anomaly with multislice computed tomography: arising of right coronary artery from left anterior descending artery. International journal of cardiology 2010. link 86 Dewilde W, ten Berg JM, Scholzel B. An anomalous right coronary artery originating from the mid portion of the left descending artery. International journal of cardiology 2009. link 87 Zalamea RM, Entrikin DW, Wannenburg T, Carr JJ. Anomalous intracavitary right coronary artery shown by cardiac CT: a potential hazard to be aware of before various interventions. Journal of cardiovascular computed tomography 2009. link 88 Irving C, Wren C. Asymptomatic anomalous origin of the left coronary artery from the pulmonary artery. Pediatric cardiology 2009. link 89 Chen JP, Rodie J. Bi-directional flow in coronary-to-left ventricular fistula. International journal of cardiology 2009. link 90 Qamar UR, Khan MU, Umair S, Tejani F, Vasavada BC, Khan IA. CT angiography images of an anomalous right coronary artery. International journal of cardiology 2009. link 91 Boffano C, Chiribiri A, Cesarani F. Native whole-heart coronary imaging for the identification of anomalous origin of the coronary arteries. International journal of cardiology 2009. link 92 Tuncer C, Gumusalan Y, Sokmen A, Sokmen G, Koroglu S, Suner A. A previously undescribed anomaly of left anterior descending artery: type V dual left anterior descending artery. International journal of cardiology 2009. link 93 Leong SW, Borges AJ, Henry J, Butany J. Anomalous left coronary artery from the pulmonary artery: case report and review of the literature. International journal of cardiology 2009. link 94 Arat N, Gurel OM, Biyikoglu FS, Duru E. Coronary artery to left ventricular fistula demonstrated by transthoracic echocardiography. European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology 2008. link 95 Matsumoto N, Sato Y, Kunimasa T, Yoda S, Yokoyama S, Takayama T et al.. MDCT detection of anomalous origins of the left main coronary artery: report of 2 cases. International journal of cardiology 2008. link 96 Marini D, Agnoletti G, Brunelle F, Bonnet D, Ou P. Left coronary to right ventricle fistula in a child: management strategy based on cardiac-gated 64-slice CT. Pediatric radiology 2008. link 97 Jang SN, Her SH, Do KR, Kim JS, Yoon HJ, Lee JM et al.. A case of congenital bilateral coronary-to-right ventricle fistula coexisting with variant angina. The Korean journal of internal medicine 2008. link 98 Shiga Y, Tsuchiya Y, Yahiro E, Kodama S, Kotaki Y, Shimoji E et al.. Left main coronary trunk connecting into right atrium with an aneurysmal coronary artery fistula. International journal of cardiology 2008. link 99 Latsios G, Tsioufis K, Tousoulis D, Kallikazaros I, Stefanadis C. Common origin of both right and left coronary arteries from the right sinus of Valsalva. International journal of cardiology 2008. link 100 Dimopoulos K, Di Mario C, Barlis P, Pennell D, Goktekin O, Kaddoura S et al.. Haemodynamic significance of an anomalous right coronary with inter-arterial course assessed with intracoronary pressure measurements during dobutamine challenge. International journal of cardiology 2008. link

Original source

[1]
AAOCA: Surgical treatment options. — Sarilar CC, Cicek S Asian cardiovascular & thoracic annals (2026)
[2]
The role of multimodality imaging in diagnosing an adult-type anomalous origin of the left coronary artery from the pulmonary artery: A case report. — Xinghui L, Xin W, Xiaoming Z, Yahong Q, Rong W The Journal of international medical research (2026)
[3]
Surgery for coronary anomaly: Intramural single trunk between the great arteries. — Kawabata T, Kuroko Y, Kotani Y, Baba K, Kasahara S Asian cardiovascular & thoracic annals (2026)
[4]
Juvenile sudden cardiac death due to congenital coronary ostial valve-like ridges: A case report and literature review. — Albano GD, Scalzo G, Malta G, De Lisi G, Argo A, Maresi E et al. The Medico-legal journal (2025)
[5]
A coronary coronary-to-coronary fistula around the main pulmonary artery. — Gherca S, Leibundgut G, Zubizarreta-Oteiza J, Haaf P The international journal of cardiovascular imaging (2025)
[6]
Procedural characteristics of coronary angiography in patients with anomalous aortic origin of a coronary artery. — Yang M, Bloomfield GC, Case BC, Satler LF, Waksman R, Ben-Dor I Cardiovascular revascularization medicine : including molecular interventions (2025)
[7]
Pathophysiology and Treatment of Intraseptal-Course Left Coronary Anomaly: Surgery for All? — Angelini P, Uribe C, Corno AF Pediatric cardiology (2025)
[8]
Intraconal Left Main Coronary Artery Originating From the Left Sinus of Valsalva. — Bishnoi A, Mainwaring RD, Seehofnerova A, Hanley FL World journal for pediatric & congenital heart surgery (2025)
[9]
Coronary bronchial fistula - A rare incidental finding. — Goswami S, Deora S, Rajagopal R, Sharma S Asian cardiovascular & thoracic annals (2023)
[10]
Sudden cardiac death related to left coronary artery anomalies including hypoplasia and anomalous origin with retro-aortic course. — Fiorentini C, Leone O, Bronzetti G, Pascali JP, Graziosi M, Pelotti S et al. Legal medicine (Tokyo, Japan) (2023)
[11]
Critical update and discussion of the prevalence, nature, mechanisms of action, and treatment options in potentially serious coronary anomalies. — Angelini P, Uribe C Trends in cardiovascular medicine (2023)
[12]
Anomalous right coronary artery originating from the aorta: a series of nine pediatric cases. — Na J, Chen X, Zhen Z, Gao L, Yuan Y BMC pediatrics (2023)
[13]
Flow Dynamics in Anomalous Aortic Origin of a Coronary Artery in Children: Importance of the Intramural Segment. — Hatoum H, Krishnamurthy R, Parthasarathy J, Flemister DC, Krull CM, Walter BA et al. Seminars in thoracic and cardiovascular surgery (2022)
[14]
A newly described variation of normal coronary: Dual origin of the circumflex artery from the main stem of the left coronary artery. — Ku L, Wang J, Song L, Ma X Journal of cardiac surgery (2022)
[15]
Double right coronary artery: a plea for a standardized nomenclature. — Moraitis SD, Agrafiotis AC, Strempelas P, Kagialaris G, Tsipas P Acta chirurgica Belgica (2022)
[16]
Anomalous aortic origin of coronary artery: For a challenging diagnosis, a transthoracic echocardiogram is recommended. — Tessitore A, Caiffa T, Bobbo M, D'Agata Mottolese B, Barbi E, Chicco D Acta paediatrica (Oslo, Norway : 1992) (2022)
[17]
Single coronary artery arising from an atretic pulmonary trunk. — Schmiady M, Dave H, Rüschoff JH, Steindl K, Hübler M, Schweiger M Asian cardiovascular & thoracic annals (2021)
[18]
The complementary nature of multimodal imaging in the management of an anomalous aortic origin of the right coronary artery from the left coronary cusp. — Medepalli LC, Medepalli VM, Scully TA Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology (2021)
[19]
Anatomic Repair of Left Main Coronary Artery Atresia: Coronary Ostioplasty With Autologous Pulmonary Artery. — Ma K, Qi L, Yuan J, Zhang B, Yuan X, Fan T et al. The Canadian journal of cardiology (2021)
[20]
An Unusual Entity: Woven Coronary Artery Anomaly. — López-Lluva MT, Abellán-Huerta J, Sánchez-Pérez I, Pérez Díaz P, Lozano Ruíz-Poveda F The Journal of invasive cardiology (2020)
[21]
Isolated single coronary artery from nonadjacent sinus of Valsalva. — Bagarhatta M, Agarwal R, Rajagopal R Journal of cardiac surgery (2020)
[22]
Anomalous Aortic Origin of a Coronary Artery: Surgical Emergency? — Mizrahi M, Mery CM, Hasbani K, Fraser CD, Beckerman Z The Annals of thoracic surgery (2020)
[23]
Correcting a rare Congenital Coronary Anomaly in an Adult-A Case Report. — Duggan J, Parker W, Reoma JL, Richey S, Huddleston C World journal for pediatric & congenital heart surgery (2020)
[24]
Intracavitary right coronary artery - Or just a wrap? A cardiac CT imaging series. — Zujs V, Chevtchik O, Schachner T, Senoner T, Feuchtner GM Journal of cardiovascular computed tomography (2020)
[25]
Abnormal Origin of the Left Coronary Artery From the Pulmonary Artery Discovered at Age 67: What to Do? — Lachhab F, Amri R, Mahfoudi L, Moughil S World journal for pediatric & congenital heart surgery (2020)
[26]
Anomalous Aortic Origin of the Coronary Arteries: A Novel Unroofing Technique in an Adult Cohort. — Vinnakota A, Stewart RD, Najm H, Blackstone EH, Ghobrial J, Pettersson GB The Annals of thoracic surgery (2019)
[27]
Surgical unroofing of intramural anomalous aortic origin of a coronary artery in pediatric patients: Single-center perspective. — Sachdeva S, Frommelt MA, Mitchell ME, Tweddell JS, Frommelt PC The Journal of thoracic and cardiovascular surgery (2018)
[28]
Anomalous origin of coronary arteries from the "wrong" sinus in athletes: Diagnosis and management strategies. — Palmieri V, Gervasi S, Bianco M, Cogliani R, Poscolieri B, Cuccaro F et al. International journal of cardiology (2018)
[29]
The Aberrant Coronary Artery - The Management Approach. — King NM, Tian DD, Munkholm-Larsen S, Buttar SN, Chow V, Yan T Heart, lung & circulation (2018)
[30]
Presence of reduced regional left ventricular function even in the absence of left ventricular wall scar tissue in the long term after repair of an anomalous left coronary artery from the pulmonary artery. — Nordmeyer S, Schmitt B, Nasseri B, Alexi-Meskishvili V, Kuehne T, Berger F et al. Cardiology in the young (2018)
[31]
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