Acute Type A Aortic Dissection With an Anomalous Aortic Origin of the Right Coronary Artery: A Rare Entry Formation.

Anomalous aortic origin of a coronary artery (AAOCA) is a rare malformation that can lead to sudden death from obstruction of the coronary artery running between the aorta and the pulmonary trunk. In cases of acute aortic dissection with AAOCA, exceptional coronary reconstruction may be required during aortic root reconstruction. This report presents a surgical case of acute aortic dissection with AAOCA in a 75-year-old woman. Aortic root reconstruction was necessary as a result of a ruptured aortic root dissection. A tear in the intramural segment of the right coronary artery required an aortocoronary bypass. Surgical treatment was successfully performed.