Medical Breakthrough at Al Mouwasat Hospital Riyadh: Successful Repair of Rare Coronary Artery Anomaly

Medical Breakthrough at Al Mouwasat Hospital Riyadh: Successful Repair of Rare Coronary Artery Anomaly

Riyadh – Al Mouwasat Hospital 

The Cardiac Surgery Department at Al Mouwasat Hospital Riyadh has successfully performed a high-risk, complex heart surgery to correct a rare congenital anomaly of the coronary arteries in a patient in his forties. This achievement reflects the hospital’s leadership in advanced cardiac care. 

Case Details 

According to Dr. Waleed Al-Ayadhi, Consultant Cardiac Surgeon, and Dr. Mohamed Ali, Specialist in Cardiac and Thoracic Surgery, the patient arrived at the emergency department with severe chest pain. 

 Comprehensive diagnostic tests were immediately conducted, including: 

• Electrocardiogram (ECG) 

• Cardiac enzyme analysis 

• Echocardiography 

• Multi-slice CT scan of the coronary arteries 

The results revealed a rare congenital anomaly: the right coronary artery originating from the left aortic sinus instead of the right, passing through an intramural course within the aortic wall. This condition causes functional compression of the artery during exertion, which can lead to myocardial ischemia and sudden cardiac death. 

Surgical Intervention 

After thorough evaluation by a multidisciplinary team of cardiac surgeons, anesthesiologists, and intensive care specialists, and obtaining informed consent, an urgent high-risk cardiac surgery was performed to reconstruct the origin of the right coronary artery and redirect its course from the aortic wall to the normal aortic root. 

 By the grace of God, the procedure was completed successfully. The patient regained consciousness immediately without complications and was discharged on the fifth day post-surgery in stable condition. 

Significance of the Achievement 

This type of coronary artery anomaly is extremely rare, occurring in only 0.2% of cases worldwide according to recent global statistics. The surgery is considered one of the most advanced and technically demanding cardiac procedures, highlighting Al Mouwasat Hospital’s commitment to cutting-edge medical technology and highly specialized expertise in line with its vision to provide world-class healthcare.