Anomalous Origin of Right Coronary Artery From Left Coronary Sinus-13 Cases Treated With the Reimplantation Technique

World Journal for Pediatric & Congenital Heart Surgery
Alain CuberoJosé I Aramendi

Abstract

Anomalous aortic origin of a coronary artery is uncommon but potentially clinically significant. Manifestations vary from asymptomatic patients to those who present with angina pectoris, myocardial infarction, heart failure, syncope, arrhythmias, and sudden death. We describe our experience with surgical reimplantation and results at midterm follow-up. Between February 2003 and July 2016, a total of 13 patients with anomalous origin of the right coronary artery (RCA) from the left sinus underwent surgical reimplantation. Mean age was 39 years (range, 11-72 years). Eight patients presented with dyspnea and angina, two with acute myocardial infarction, and the remaining three were studied for atypical chest pain and ventricular premature contractions. Definitive diagnosis was achieved with coronary angiography in eight cases and with computed tomography scan in five. In all cases, the anomalous origin of the RCA from the left sinus had an intramural course except one case with interarterial (but not intramural) course. At operation, the RCA was dissected at the takeoff from the intramural course and reimplanted into the right sinus of Valsalva. There was no mortality. One patient had associated atherosclerotic coronary artery dis...Continue Reading

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Citations

Aug 11, 2018·Seminars in Cardiothoracic and Vascular Anesthesia·Benjamin KloeselJohn L Bass
Feb 20, 2021·Journal of Cardiovascular Imaging·Seung Yeon BaeJi Hee Kwak
Jul 29, 2021·JTCVS Techniques·Juan B GrauGyaandeo Maharajh
Jul 29, 2021·JTCVS Techniques·Richard D Mainwaring
Dec 1, 2021·World Journal for Pediatric & Congenital Heart Surgery·Daouda AmadouJean Ninet

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Methods Mentioned

BETA
coronary artery bypass
imaging techniques
mammary artery bypass

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