{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:15:00Z","timestamp":1740147300519,"version":"3.37.3"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,3,27]],"date-time":"2021-03-27T00:00:00Z","timestamp":1616803200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,3,27]],"date-time":"2021-03-27T00:00:00Z","timestamp":1616803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2021,12]]},"abstract":"Abstract<\/jats:title>\n Background<\/jats:title>\n Traditional coronary artery disease risk factors are well established and help risk stratify most patients presenting with chest pain syndromes. Young patients (under age 30 years) without other risk factors are thought to be at very low risk of coronary artery disease and acute coronary syndromes.<\/jats:p>\n <\/jats:sec>\n Case presentation<\/jats:title>\n We highlight the case of a 27-year-old Afro-Caribbean male who presented to hospital with chest pain and was discharged from the emergency room because he was thought to be low risk for ischemic heart disease. Laboratory investigations subsequently confirmed acute coronary syndrome. He was found to have an anomalous right coronary artery with a malignant origin running between the aorta and pulmonary artery eventually requiring surgical correction. Anomalous origins of the coronary arteries are rare causes of acute coronary syndromes, chest pain, and sudden cardiac death.<\/jats:p>\n <\/jats:sec>\n Conclusion<\/jats:title>\n Our patient could have easily had an adverse outcome as his diagnosis was missed by the initial treating physician. It is important to consider anomalous coronary artery origin in the evaluation of young symptomatic patients who may be otherwise low risk and not have traditional risk factors for ischemic heart disease.<\/jats:p>\n <\/jats:sec>","DOI":"10.1186\/s13256-021-02770-0","type":"journal-article","created":{"date-parts":[[2021,3,27]],"date-time":"2021-03-27T00:03:59Z","timestamp":1616803439000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Missed myocardial infarction in a vicenarian with\u00a0malignant anomalous right coronary artery causing acute coronary syndrome: a case report"],"prefix":"10.1186","volume":"15","author":[{"given":"Nafeesah","family":"Ali","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kandace","family":"Baggan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shari S.","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paramanand","family":"Maharaj","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8796-7633","authenticated-orcid":false,"given":"Ronan G.","family":"Ali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,3,27]]},"reference":[{"issue":"1","key":"2770_CR1","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1002\/ccd.10062","volume":"55","author":"MG Cohen","year":"2002","unstructured":"Cohen MG, Tolleson TR, Peter RH, Harrison JK, Sketch MH Jr. Successful percutaneous coronary intervention with stent implantation in anomalous right coronary arteries arising from the left sinus of valsalva: a report of two cases. Catheter Cardiovasc Interv. 2002;55(1):105\u20138.","journal-title":"Catheter Cardiovasc Interv"},{"issue":"6","key":"2770_CR2","doi-asserted-by":"publisher","first-page":"e111","DOI":"10.1161\/CIRCEP.112.978635","volume":"5","author":"B Greet","year":"2012","unstructured":"Greet B, Quinones A, Srichai M, Bangalore S, Roswell RO. Anomalous right coronary artery and sudden cardiac death. Circ Arrhythm Electrophysiol. 2012;5(6):e111\u20132.","journal-title":"Circ Arrhythm Electrophysiol"},{"issue":"5","key":"2770_CR3","doi-asserted-by":"publisher","first-page":"175","DOI":"10.4070\/kcj.2009.39.5.175","volume":"39","author":"BY Lee","year":"2009","unstructured":"Lee BY. Anomalous right coronary artery from the left coronary sinus with an interarterial course: Is it really dangerous? Korean Circ J. 2009;39(5):175\u20139.","journal-title":"Korean Circ J"},{"issue":"2","key":"2770_CR4","doi-asserted-by":"publisher","first-page":"598","DOI":"10.1016\/S0735-1097(00)01122-0","volume":"37","author":"A Pellicia","year":"2001","unstructured":"Pellicia A. Congenital coronary artery anomalies in young patients: new perspectives for timely identification. J Am Coll Cardiol. 2001;37(2):598\u2013600.","journal-title":"J Am Coll Cardiol"},{"issue":"4","key":"2770_CR5","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1016\/S0967-2109(00)00025-9","volume":"8","author":"AS Shah","year":"2000","unstructured":"Shah AS, Milano CA, Lucke JP. Anomalous origin of the right coronary artery from the left coronary sinus: case report and review of surgical treatments. Cardiovasc Surg. 2000;8(4):284\u20136.","journal-title":"Cardiovasc Surg"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02770-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13256-021-02770-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02770-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,27]],"date-time":"2021-03-27T00:15:18Z","timestamp":1616804118000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-021-02770-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,27]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2770"],"URL":"https:\/\/doi.org\/10.1186\/s13256-021-02770-0","relation":{},"ISSN":["1752-1947"],"issn-type":[{"type":"electronic","value":"1752-1947"}],"subject":[],"published":{"date-parts":[[2021,3,27]]},"assertion":[{"value":"5 September 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 March 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 March 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This manuscript does not report on or involve the use of any animal or human data or tissue.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"166"}}