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Aortic Valve Replacement in a Case of Anomalous Origin of the Right Coronary Artery Nozomi Kojima, Satoshi Ito, Arata Muraoka, Hiroaki Konishi and Yoshio Misawa(Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Japan) Congenital anomalies of the coronary artery are rare. However, they can cause sudden death because of arrhythmia. We present a case of a 62-year-old man with severe aortic valve regurgitation associated with an anomalous origin of a narrowed right coronary artery(IB2 according to the Shirani Classification) detected on preoperative coronary three-dimensional computed tomography(CT). The patient underwent both aortic valve replacement for aortic regurgitation, and coronary artery bypass. The postoperative course was uneventful. Jpn. J. Cardiovasc. Surg. 40 : 10-13(2011)