{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T12:01:35Z","timestamp":1789128095980,"version":"build-2803163510"},"reference-count":10,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,7,7]],"date-time":"2022-07-07T00:00:00Z","timestamp":1657152000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:p>The aortic anomaly of the right coronary artery (AAORCA) originating from the left aortic sinus (LCS) is a rare malformation that may result in sudden cardiac death (SCD), which may be due to the dilated aorta-pulmonary artery affecting the blood supply of the coronary artery. However, there are still some disputes about the treatment of the AAORCA. Herein, we present a rare case of AAORCA from the LCS with aortic dissection (AD). Considering the risk of dissection rupture and SCD, an emergency surgery of aortic replacement and coronary anomaly correction was performed successfully for the patient. This report illustrated that AAORCA complicated with acute AD (AAD) is lethal and may promote the occurrence of coronary ischemia or sudden death by a new \u201cdouble-kill\u201d mechanism that myocardial ischemia was based on the extent of a fixed and a dynamic component like slit-like ostium, proximal narrowing, acute take-off angle and intramural course with the elliptic vessel shape. There is no doubt that surgery is the best treatment option for the AAORCA with AAD.<\/jats:p>","DOI":"10.3389\/fcvm.2022.900803","type":"journal-article","created":{"date-parts":[[2022,7,7]],"date-time":"2022-07-07T04:43:46Z","timestamp":1657169026000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Case Report: Anomalous Origin of the Right Coronary Artery From the Left Sinus of Valsalva With Aortic Dissection: New Myocardial Ischemia Mechanism"],"prefix":"10.3389","volume":"9","author":[{"given":"Zhongshang","family":"Xie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junlin","family":"Zou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haisong","family":"Bu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,7,7]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1097\/MOP.0000000000001056","article-title":"Anomalous aortic origin of a coronary artery: learning from the past to make advances in the future","volume":"33","author":"Jegatheeswaran","year":"2021","journal-title":"Curr Opin Pediatr"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1299","DOI":"10.1016\/j.athoracsur.2020.06.153","article-title":"Anomalous aortic origin of a coronary artery in adults","volume":"112","author":"Jiang","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"4776","DOI":"10.1111\/jocs.16024","article-title":"A case of right ventricular infarction due to acute type A aortic dissection with anomalous aortic origin of the right coronary artery from the left sinus of Valsalva","volume":"36","author":"Machii","year":"2021","journal-title":"J Card Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1111\/apa.16160","article-title":"Anomalous aortic origin of coronary artery: for a challenging diagnosis, a transthoracic echocardiogram is recommended","volume":"111","author":"Tessitore","year":"2022","journal-title":"Acta Paediatr"},{"key":"B5","first-page":"493","article-title":"Acute stanford type A aortic dissection mimicking acute myocardial infarction: a hidden catastrophe which should prompt greater vigilance","volume":"30","author":"Tang","year":"2014","journal-title":"Acta Cardiol Sin"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1592","DOI":"10.1016\/j.jacc.2017.01.031","article-title":"Anomalous aortic origin of a coronary artery from the inappropriate sinus of valsalva","volume":"69","author":"Cheezum","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"591326","DOI":"10.3389\/fcvm.2020.591326","article-title":"Hemodynamic relevance of anomalous coronary arteries originating from the opposite sinus of valsalva-in search of the evidence","volume":"7","author":"Bigler","year":"2021","journal-title":"Front Cardiovasc Med"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e37","DOI":"10.1016\/j.jcct.2018.12.053","article-title":"Image diagnosis: an anomalous origin of right pulmonary artery from the ascending aorta","volume":"14","author":"Bu","year":"2020","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"B9","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1111\/jocs.12072","article-title":"Incidence of aortic arch anomalies in patients with thoracic aortic dissections","volume":"28","author":"Wanamaker","year":"2013","journal-title":"J Card Surg"},{"key":"B10","doi-asserted-by":"publisher","first-page":"e513","DOI":"10.1016\/j.athoracsur.2020.04.023","article-title":"Neomedia aortic root repair for type A aortic dissection despite anomalous right coronary artery","volume":"110","author":"Tran","year":"2020","journal-title":"Ann Thorac Surg"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2022.900803\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,7]],"date-time":"2022-07-07T04:43:50Z","timestamp":1657169030000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2022.900803\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,7]]},"references-count":10,"alternative-id":["10.3389\/fcvm.2022.900803"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2022.900803","relation":{},"ISSN":["2297-055X"],"issn-type":[{"value":"2297-055X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,7]]},"article-number":"900803"}}