Key result
Surgical reimplantation enables uneventful recovery after cardiac arrest from anomalous right coronary artery.
Why the study?
Coronary artery anomalies with an interarterial course are rare but clinically significant due to risk of ischemia and sudden cardiac death, requiring specific anesthetic management.
Case Report (n=1)
This case highlights anesthetic management priorities and the potential role of external triggers (recreational inhalants) in patients with a vulnerable anomalous coronary anatomy.
Anesthetic priorities in anomalous coronaries merit attention to inhalant triggers; case report leaves open need for systematic evaluation.
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.
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Coelho et al. (2026) conducted a case report in Anomalous right coronary artery from the left sinus of Valsalva with interarterial trajectory (n=1). Surgical reimplantation and tailored anesthetic management was evaluated on Patient recovery. Surgical reimplantation under tailored anesthetic management was successfully performed with uneventful recovery in a 22-year-old man with an anomalous right coronary artery following cardiac arrest.
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