{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T16:46:06Z","timestamp":1791996366162,"version":"4.4.0"},"reference-count":0,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiology"],"abstract":"<jats:p>Introduction: Anomalous Aortic Origin of Right Coronary Artery (AAORCA) is a rare congenital anomaly that may be associated with adverse cardiac events, including sudden cardiac death. Surgical correction is commonly recommended in patients with AAORCA. Coronary computed tomography angiography (CCTA) is a prevalent diagnostic modality, which increases AAORCA detection. However, the clinical significance of incidentally detected AAORCA remains unclear. Methods: This non-randomized retrospective analysis included 10,134 patients who underwent CCTA between January 2014 and December 2022, either for suspected coronary artery disease (CAD) or a medical check-up. Three groups were created: patients with normal coronary anatomy (normal), with AAORCA (anomaly), and CAD without AAORCA (CAD). CAD was defined as a percentage diameter stenosis of \u226550% in one or more segments. Cardiac mortality was this study\u2019s primary endpoint. Results: Normal, anomaly, and CAD group comprised 7592 (74.9%), 66 (0.7%), and 2476 (24.4%) patients, respectively. During a median follow-up of 33.7 months (IQR: 13.2\u201353.4), Kaplan-Meier analysis revealed no significant difference in the cardiac death occurrence between the normal (15 events, 0.2%) and anomaly groups (0 events, 0%) (log-rank p=0.685). Cox proportional hazards model revealed no difference in mortality in the anomaly group compared with normal group. Conclusions: In our cohort, incidentally detected AAORCA in adults did not demonstrate a clearly elevated cardiac death risk relative to CAD during mid-term follow-up. However, given the small number of events, these findings should be interpreted as descriptive rather than confirmatory evidence of a benign natural course, particularly in populations at higher risk of exertional sudden cardiac death.<\/jats:p>","DOI":"10.1159\/crd\/absag018","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:34:49Z","timestamp":1791891289000},"source":"Crossref","is-referenced-by-count":0,"title":["Clinical Outcomes of Anomalous Aortic Origin of Right Coronary Artery from the Left Coronary Sinus"],"prefix":"10.1159","author":[{"given":"Taeil","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joonpyo","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kil Yoon","family":"Pack","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyung Eun","family":"Ha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youngwoo","family":"Jang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Woong Chol","family":"Kang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeonggeun","family":"Moon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2026,10,13]]},"container-title":["Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/crd\/absag018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T16:01:42Z","timestamp":1791993702000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/crd\/absag018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,13]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1159\/crd\/absag018","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.34328916","asserted-by":"subject"}]},"ISSN":["0008-6312","1421-9751"],"issn-type":[{"value":"0008-6312","type":"print"},{"value":"1421-9751","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,13]]}}}