Replacement of Ascending Aortic Aneurysm with Anomalous Origin of the Right Coronary Artery: Multidisciplinary Imaging for the Diagnosis.

Autor:	Ceresa F; Department of Cardio-Vascular and Thoracic Surgery, Papardo Hospital, Messina, Italy., Micari A; Division of Cardiology, G. Martino University Hospital, Messina, Italy., Mammana LF; Department of Cardio-Vascular and Thoracic Surgery, Papardo Hospital, Messina, Italy., Maisano U; Division of Cardiac Anesthesiology, Papardo Hospital, Messina, Italy., Carlo AD; Division of Cardiology, G. Martino University Hospital, Messina, Italy., Luongo A; Division of Cardiology, G. Martino University Hospital, Messina, Italy., Patanè F; Department of Cardio-Vascular and Thoracic Surgery, Papardo Hospital, Messina, Italy.
Jazyk:	angličtina
Zdroj:	Journal of cardiovascular echography [J Cardiovasc Echogr] 2023 Oct-Dec; Vol. 33 (4), pp. 192-194. Date of Electronic Publication: 2024 Feb 26.
DOI:	10.4103/jcecho.jcecho_37_23
Abstrakt:	This case report presents a rare scenario involving a congenital anomaly of the right coronary artery's (RCA) origin in association with an ascending aortic aneurysm. While both anomalies are individually recognized in the literature, their coexistence and potential interplay remain understudied. The aim of this report is to emphasize the challenges and implications associated with such a combination. A 78-year-old male patient with an enlarged ascending aortic aneurysm necessitating surgical intervention was found to have an anomalous origin of the RCA during preoperative coronary angiography, confirmed by computed tomography scan. Transesophageal echocardiography further elucidated the coronary abnormality. Intraoperatively, successful aortic replacement was performed, and careful repositioning of the anomalous right coronary ostium was achieved. This case raises important considerations regarding the potential complications arising from coronary anomalies and their impact on the surgical management of ascending aortic aneurysms. The rarity of this combination limits our understanding of their association, making a multidisciplinary approach crucial for optimal patient care. Further research and comprehensive evaluation of similar cases are necessary to better understand the relationship between coronary anomalies and ascending aortic aneurysms. Such investigations will help in improving treatment strategies and outcomes for patients with these complex conditions. Competing Interests: There are no conflicts of interest. (Copyright: © 2024 Journal of Cardiovascular Echography.)
Databáze:	MEDLINE
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