Premium
Re‐Implantation of an Anomalous Right Coronary Artery Arising from the Left Coronary Sinus and Coursing between the Great Arteries
Author(s) -
Liava'a Matthew,
Theodore Sanjay,
Skillington Peter
Publication year - 2009
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2008.00713.x
Subject(s) - medicine , coronary arteries , coronary sinus , cardiology , left coronary artery , sinus (botany) , artery , botany , biology , genus
The patient with a coronary artery anomaly remains a treatment dilemma. We present a 62‐year‐old woman who underwent re‐implantation of her anomalous right coronary artery (ARCA) from the left coronary sinus and describe our techniques according to potential anatomic variations of ARCA. The ARCA from the left coronary sinus is increasingly being recognized as a cause of angina, acute myocardial infarction, syncope, and sudden death. We describe a case that was treated by direct coronary artery re‐implantation into the right coronary sinus and suggest that this technique be the first considered when planning surgical correction.