{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T05:00:53Z","timestamp":1764219653244,"version":"3.46.0"},"reference-count":8,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,11,10]]},"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>Congenital absence of the right coronary artery (RCA) is an extremely rare coronary anomaly that may occur in isolation or in association with other congenital heart defects. We report the case of a woman in her early 30s with a history of surgically corrected congenital heart disease, who was diagnosed with RCA agenesis during evaluation for mild anginal symptoms. Coronary CT angiography revealed the absence of the RCA origin, which was confirmed by coronary angiography. No obstructive coronary lesions were identified. Given her stable condition and absence of myocardial ischaemia, a conservative approach was chosen. The patient remained asymptomatic on follow-up. This case underscores the importance of recognising coronary anomalies in young patients with chest pain, as accurate diagnosis can guide appropriate management and prevent potential complications.<\/jats:p>","DOI":"10.1136\/bcr-2025-269325","type":"journal-article","created":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T03:45:19Z","timestamp":1764215119000},"page":"e269325","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Congenital absence of the right coronary artery in a patient with corrected congenital heart disease"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7903-2423","authenticated-orcid":false,"given":"Pedro Henrique","family":"Gutemberg","sequence":"first","affiliation":[{"name":"Coronary Artery Disease Outpatient Clinic\u201d, Instituto Dante Pazzanese de Cardiologia, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5531-4822","authenticated-orcid":false,"given":"Rodrigo","family":"Ferraz","sequence":"additional","affiliation":[{"name":"Coronary Artery Disease Outpatient Clinic\u201d, Instituto Dante Pazzanese de Cardiologia, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6479-626X","authenticated-orcid":false,"given":"Ana Clara","family":"de Assis","sequence":"additional","affiliation":[{"name":"Coronary Artery Disease Outpatient Clinic\u201d, Instituto Dante Pazzanese de Cardiologia, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1809-5448","authenticated-orcid":false,"given":"Vitor Joaquim","family":"de Almeida","sequence":"additional","affiliation":[{"name":"Cardiology, Instituto Dante Pazzanese de Cardiologia, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6665-4730","authenticated-orcid":false,"given":"Marina","family":"Cavallari","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4404-6769","authenticated-orcid":false,"given":"Kelvyn Melo","family":"Vital","sequence":"additional","affiliation":[{"name":"Coronary Heart Disease, Instituto Dante Pazzanese de Cardiologia, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,11,26]]},"reference":[{"key":"2025112619451148000_18.11.e269325.1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810210110"},{"key":"2025112619451148000_18.11.e269325.2","first-page":"435","article-title":"Single coronary artery associated with normal left coronary artery and anomalous origin of the right coronary artery from the distal left circumflex artery: a case report","volume":"44","author":"Turhan","year":"2003","journal-title":"Jpn Heart J"},{"key":"2025112619451148000_18.11.e269325.3","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1007\/s40119-018-0103-4","article-title":"Single Coronary Artery Anomaly: A Case Report and Review of Literature","volume":"7","author":"Elbadawi","year":"2018","journal-title":"Cardiol Ther"},{"key":"2025112619451148000_18.11.e269325.4","article-title":"Congenital absence of right coronary artery: a case report and literature review","volume":"16","author":"Barakoti","year":"2024","journal-title":"Cureus"},{"key":"2025112619451148000_18.11.e269325.5","doi-asserted-by":"publisher","DOI":"10.1148\/130.1.39"},{"key":"2025112619451148000_18.11.e269325.6","first-page":"1","article-title":"Coronary artery anomalies: a review of incidence, presentation and clinical significance","volume":"97","author":"Gilan","year":"2025","journal-title":"Clin Imaging"},{"key":"2025112619451148000_18.11.e269325.7","article-title":"Congenital absence of the right coronary artery: a case report by computed tomography angiography","volume":"97","author":"Yan","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"2025112619451148000_18.11.e269325.8","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1161\/CIRCULATIONAHA.121.055347","article-title":"Coronary Artery Anomalies","volume":"144","author":"Gentile","year":"2021","journal-title":"Circulation"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-269325","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T03:45:20Z","timestamp":1764215120000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-269325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":8,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,11,26]]},"published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1136\/bcr-2025-269325"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-269325","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11]]}}}