{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:46:32Z","timestamp":1791985592726,"version":"4.4.0"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Coronary artery anomalies are rare but clinically significant malformations, particularly when involving an interarterial course, which predisposes to ischemia and sudden cardiac death. We report the case of a previously healthy 22-year-old man who suffered out-of-hospital cardiac arrest associated with recreational inhalant use. Imaging revealed an anomalous right coronary artery originating from the left sinus of Valsalva with interarterial trajectory. Surgical reimplantation was performed under tailored anesthetic management emphasizing hemodynamic stability. The patient recovered uneventfully. This case discusses and highlights anesthetic priorities and the potential role of external triggers in vulnerable coronary anatomy.<\/jats:p>","DOI":"10.4103\/aca.aca_323_25","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:00:20Z","timestamp":1791824420000},"page":"605-609","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Anesthetic Challenges in Interarterial Right Coronary Artery Anomaly from the Left Sinus of Valsalva: A Case Report"],"prefix":"10.4103","volume":"29","author":[{"given":"Izabela S.","family":"Coelho","sequence":"first","affiliation":[{"name":"Department of Surgery and Anesthesiology, Hospital das Cl\u00ednicas, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz F. C.","family":"Lopes","sequence":"additional","affiliation":[{"name":"Department of Surgery and Anesthesiology, Hospital das Cl\u00ednicas, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina A.","family":"Delgado","sequence":"additional","affiliation":[{"name":"Department of Surgery and Anesthesiology, Hospital das Cl\u00ednicas, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"R1-20261014","doi-asserted-by":"crossref","first-page":"e027098","DOI":"10.1161\/JAHA.122.027098","article-title":"Therapeutic management of anomalous coronary arteries originating from the opposite sinus of valsalva: Current evidence, proposed approach, and the unknowing","volume":"11","author":"Bigler","year":"2022","journal-title":"J Am Heart Assoc"},{"key":"R2-20261014","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"},{"key":"R3-20261014","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.repc.2017.09.015","article-title":"Congenital coronary artery anomalies","volume":"37","author":"Silva","year":"2018","journal-title":"Rev Port Cardiol"},{"key":"R4-20261014","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1177\/1089253218793888","article-title":"Management and anesthetic considerations for patients with anomalous aortic origin of a coronary artery","volume":"22","author":"Kloesel","year":"2018","journal-title":"Semin Cardiothorac Vasc Anesth"},{"key":"R5-20261014","doi-asserted-by":"crossref","first-page":"136","DOI":"10.4103\/0019-5049.151386","article-title":"Anaesthesia for repair of anomalous origin of left coronary artery from pulmonary artery","volume":"59","author":"Gupta","year":"2015","journal-title":"Indian J Anaesth"},{"key":"R6-20261014","doi-asserted-by":"crossref","first-page":"2102","DOI":"10.1016\/j.jacc.2009.07.004","article-title":"2009 ACCF\/AHA focused update on perioperative beta blockade","volume":"54","author":"Fleischmann","year":"2009","journal-title":"J Am Coll Cardiol"},{"key":"R7-20261014","doi-asserted-by":"crossref","first-page":"36","DOI":"10.51147\/rcml067.2022","article-title":"RELATO DE TR\u00caS CASOS: Intoxica\u00e7\u00e3o POR SOLVENTES ORG\u00c2NICOS","volume":"7","author":"Zanuncio","year":"2022","journal-title":"Revista Criminalistica e Medicina Legal"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_323_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:00:35Z","timestamp":1791982835000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_323_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_323_25","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2025-11-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}