Anomalous origin of right coronary artery from pulmonary artery

Agrawal, Vikas; Lakhotia, S. C.

doi:10.1016/j.jicc.2013.04.001

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Anomalous Right Coronary Artery From the Pulmonary Artery1

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2015

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“…Although two-dimensional (2-D) echocardiography with color-flow Doppler is diagnostic, cardiac angiography, multi-slice computed tomography (CT), or cardiac MRI are becoming increasingly popular imaging modalities for detecting RCA anomalies and delineating the anatomy prior to surgical correction. [44][45][46] Coronary artery reimplantation is the treatment of choice even in asymptomatic patients with extensive collateralization due to being solely dependent on patency of the left coronary system.…”

Section: Anomalous Right Coronary Artery From the Pulmonary Arterymentioning

confidence: 99%

Anomalous Origins of Coronary Arteries From the Pulmonary Artery

Karimi

Kirshbom

2015

World J Pediatr Congenit Heart Surg

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Anomalous origins of coronary arteries from the pulmonary artery are rare malformations in which the coronary arteries originate from pulmonary artery sinuses or branches. The consequences are variable although, in most cases, these anomalies lead to severe coronary hypoperfusion and ventricular dysfunction. Surgical correction is indicated once the diagnosis is established due to high early mortality associated with the disease. In nearly all cases, the anomalous artery can be excised from its pulmonary origin, mobilized, and reimplanted directly into the ascending aorta using different surgical techniques. In rare circumstances, technical modifications must be used to restore a normal dual coronary perfusion. The emphasis of this article is to provide a collective review of surgical options published in the literature.

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Section: Anomalous Right Coronary Artery From the Pulmonary Arterymentioning

confidence: 99%