Anomalous High Origin of Right Coronary Artery From the Aortic Wall Diagnosed by Multidetector Computed Cardiac Tomography.

Repair of an ascending aortic aneurysm associated with an anomalous right coronary artery origin

“…Limited case reports have documented the repair of high aortic origin of the RCA in an adult population and are summarized in Table 1. In a single‐institution, prospective cohort, Molossi et al note that aortic origins of the coronary artery above the coronary commissure are the rarest anatomic variant presenting in only 2.4% (of either isolated right or left coronary artery origins) of patients with anomalous coronary origins 3,5,6,8–16 . Notably, difficulty in cannulating the RCA during diagnostic coronary angiography has been previously noted as well as the need for caution in applying an aortic cross‐clamp and administering cardioplegia for success 8,12 .…”

“…AAOCAs are rare, congenital coronary artery malformations with a less than 0.9% incidence rate among all cases of congenital heart disease 2,3 . Coronary origins from noncorresponding coronary sinuses or aberrant sinus of Valsalva origins generally present the predominance anatomical variants with symptomatic cardiac presentations earlier in life or with the potential for sudden death while isolated aortic origins of coronary arteries without anomalous courses between the aorta and pulmonary artery, stenotic disease, or severe angulation is often incidentally detected 2,4–7 . Limited case reports have documented the repair of high aortic origin of the RCA in an adult population and are summarized in Table 1.…”

“…origins. 3,5,6,[8][9][10][11][12][13][14][15][16] Notably, difficulty in cannulating the RCA during diagnostic coronary angiography has been previously noted as well as the need for caution in applying an aortic cross-clamp and administering cardioplegia for success. 8,12 However, no prior publication has documented the presence or operative consideration of such an anatomic variant in the concomitant setting of an ascending aortic aneurysm repair.…”

“…2,[4][5][6][7] Limited case reports have documented the repair of high aortic origin of the RCA in an adult population and are summarized in Table1. In a single-…”

High origin of the right coronary artery with partial anomalous pulmonary venous connection to the left superior caval vein in tetralogy of Fallot

“…The incidence of high origin of RCA from the ascending aorta is not known and has been reported as case reports only. The high origin of a coronary artery is defined as the ostium arising 5 to 10 mm above the sinotubular junction 3 . The high take‐off of the RCA has previously been described in the literature existing as an isolated incidental finding or in association with other cardiac defects with the bicuspid aortic valve being the most common of them 4 .…”