{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:13:36Z","timestamp":1777936416897,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,9,10]],"date-time":"2015-09-10T00:00:00Z","timestamp":1441843200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Semin Cardiothorac Vasc Anesth"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:p>The anatomy of the coronary circulation is well described with incidence of congenital anomalies of approximately 0.3% to 1.0%. Although often incidental, 20% are life-threatening. A 25-year-old woman with syncopal episodes collapsed following a 10-km run. Coronary anatomy evaluation showed an anomalous left main coronary artery originating from the right sinus of valsalva and following a course between the aorta and the pulmonary outflow tract. Percutaneous coronary intervention was followed by eventual surgical revascularization. Abnormal course of coronary arteries plays a role in the pathogenesis of sudden death on exertion. Origin of the left main coronary from the right sinus of valsalva is a rare congenital anomaly. The expansion of the roots of the aorta and pulmonary trunk with exertion lead to compression of the coronary artery and syncope. Our patient raises awareness of a potentially fatal coronary artery path. Intraoperative identification of anomalous coronaries by utilizing intraoperative transesophageal echocardiography was critical.<\/jats:p>","DOI":"10.1177\/1089253215605389","type":"journal-article","created":{"date-parts":[[2015,9,10]],"date-time":"2015-09-10T22:03:30Z","timestamp":1441922610000},"page":"232-236","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Anomalous Coronary Artery"],"prefix":"10.1177","volume":"20","author":[{"given":"Michael Stuart","family":"Green","sequence":"first","affiliation":[{"name":"Drexel University College of Medicine\/Hahnemann University Hospital, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sankalp","family":"Sehgal","sequence":"additional","affiliation":[{"name":"Drexel University College of Medicine\/Hahnemann University Hospital, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naomi","family":"Smukler","sequence":"additional","affiliation":[{"name":"Drexel University College of Medicine\/Hahnemann University Hospital, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LaDouglas Jarod","family":"Suber","sequence":"additional","affiliation":[{"name":"Drexel University College of Medicine\/Hahnemann University Hospital, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooven","family":"Saththasivam","sequence":"additional","affiliation":[{"name":"Drexel University College of Medicine\/Hahnemann University Hospital, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,9,10]]},"reference":[{"key":"bibr1-1089253215605389","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.804617"},{"key":"bibr2-1089253215605389","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-11-200412070-00005"},{"key":"bibr3-1089253215605389","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/62748086"},{"key":"bibr4-1089253215605389","doi-asserted-by":"publisher","DOI":"10.1053\/j.ro.2008.01.005"},{"key":"bibr5-1089253215605389","doi-asserted-by":"publisher","DOI":"10.1016\/S0046-8177(98)90277-5"},{"key":"bibr6-1089253215605389","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2271020316"},{"key":"bibr7-1089253215605389","doi-asserted-by":"publisher","DOI":"10.1148\/rg.262055068"},{"key":"bibr8-1089253215605389","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-5273(00)00243-6"},{"key":"bibr9-1089253215605389","doi-asserted-by":"publisher","DOI":"10.1161\/hc0602.102020"},{"key":"bibr10-1089253215605389","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.50.4.780"},{"key":"bibr11-1089253215605389","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(89)90454-2"},{"key":"bibr12-1089253215605389","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(92)90283-A"}],"container-title":["Seminars in Cardiothoracic and Vascular Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1089253215605389","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1089253215605389","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1089253215605389","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:29:57Z","timestamp":1777692597000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1089253215605389"}},"subtitle":["Run of a Lifetime"],"short-title":[],"issued":{"date-parts":[[2015,9,10]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,9]]}},"alternative-id":["10.1177\/1089253215605389"],"URL":"https:\/\/doi.org\/10.1177\/1089253215605389","relation":{},"ISSN":["1089-2532","1940-5596"],"issn-type":[{"value":"1089-2532","type":"print"},{"value":"1940-5596","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,10]]}}}