# Reimplantation of the Anomalous Origin of the Right Coronary Artery: A Case Report

## TL;DR

A 41-year-old man with a rare heart artery anomaly underwent successful surgery to reimplant the artery and remains symptom-free.

## Contribution

This case report presents a successful surgical reimplantation of a malignant coronary artery anomaly.

## Key findings

- The patient's right coronary artery originated abnormally from the left coronary sinus of Valsalva.
- Surgery to reimplant the artery resulted in an uneventful recovery and no symptoms at six months.
- The artery had a malignant interarterial course but was patent with no lesions.

## Abstract

Coronary artery anomalies are quite rare, often asymptomatic, but in some cases can be harmful, leading to myocardial infarction and even sudden cardiac death.

We report the case of a 41-year-old male experiencing shortness of breath, angina-like neck tightness, and dizziness when speaking for extended periods. A coronary angiogram revealed that his right coronary artery (RCA) originated from the left coronary sinus of Valsalva (LCSV), coursing anteriorly between the aorta and the main pulmonary artery (malignant interarterial course), but was patent, with no lesions. Following successful open-heart surgery to reimplant the anomalous origin of the RCA, the patient had an uneventful recovery and remains asymptomatic at six-month follow-up.