Reimplantation for anomalous right coronary artery

Grau, Juan B.; Rahmouni, Kenza; Castillo, Javier G.; Ruel, Marc; Maharajh, Gyaandeo

doi:10.1016/j.xjtc.2021.01.033

Cited by 7 publications

(7 citation statements)

References 5 publications

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“…AAORCA tends to run longer in the central direction than normal, and the anastomotic orifice to be set is usually to preserve the proximal branches of the RCA. The anastomotic orifice should be reimplanted higher than the normal opening of the right sinus of Valsalva [ 10 ]. Careful attention must be paid to the setting of the anastomotic orifice, as a low anastomotic position may result in central stenosis.…”

Section: Discussionmentioning

confidence: 99%

Direct Coronary Artery Reimplantation of Anomalous Aortic Origin of the Right Coronary Artery: A Case Report

Katoh,

Ohki,

Yamaguchi

et al. 2023

Cureus

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Anomalous aortic origin of the coronary artery (AAOCA) is a rare congenital cardiac abnormality. Although AAOCA can cause angina, syncope, palpitations, and sudden cardiac death, most patients remain asymptomatic. A 60-year-old woman experienced occasional chest discomfort. A coronary computed tomography (CT) showed that the right coronary artery (RCA) originated from the left sinus of Valsalva, indicating AAORCA. Exercise myocardial scintigraphy revealed ischemia in the inferior wall. Cardiac catheterization showed stenosis in the ostium of the RCA. Therefore, direct reimplantation of the RCA into the right sinus was performed under cardiopulmonary bypass. The patient recovered uneventfully, postoperatively. Postoperative coronary CT showed no evidence of bending or stenosis in the RCA. Moreover, exercise scintigraphy showed no ischemic changes. The patient was discharged on postoperative day 18 after the resolution of chest discomfort and remained healthy for the following one year. AAORCA is a rare congenital abnormality that could lead to sudden cardiac death. Appropriate imaging studies and surgery should be performed in symptomatic patients with AAORCA who have inter-arterial paths between the ascending aorta and pulmonary artery with right coronary ostial stenosis. Reimplantation of the RCA directly into the right coronary sinus with adequate mobilization of the RCA is a simple procedure that can return the anatomic and biophysiologic status of AAORCA patients to normal and resolve most morphologic abnormalities.

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Section: Discussionmentioning

confidence: 99%

Direct Coronary Artery Reimplantation of Anomalous Aortic Origin of the Right Coronary Artery: A Case Report

Katoh,

Ohki,

Yamaguchi

et al. 2023

Cureus

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“…In many cases, no treatment is necessary for asymptomatic people who have benign abnormalities, such as myocardial bridging or minor coronary artery aneurysms. 24 A surgical or interventional procedure may be necessary for individuals who are experiencing symptoms, or who have high-risk abnormalities such as ALCAPA, or an interarterial course of the coronary arteries. Improving myocardial perfusion and avoiding ischemia, myocardial infarction, and SCD are therapy goals.…”

Section: Case Reportmentioning

confidence: 99%

“…Improving myocardial perfusion and avoiding ischemia, myocardial infarction, and SCD are therapy goals. 23,24 Reimplantation of the anomalous coronary artery into the proper aortic sinus or bypass grafting of the aberrant section may constitute surgical therapy. This method can give a permanent cure and enhance long-term outcomes, but it has a greater risk of complications and a longer recovery time.…”

Section: Case Reportmentioning

confidence: 99%

Percutaneous Coronary Intervention For Treatment of Unusual Origin of the Left Main Artery: A Case Report

Elkhayat,

Birema,

Elhoseiny

2023

EMJ Int Cardiol

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The left main coronary artery originating from the right sinus of Valsalva is a rare congenital anomaly. A 62-year-old male came in with recurring exertional chest discomfort, as observed by the authors. He was referred to the catheterisation laboratory for coronary angiography, which revealed the presence of a left main coronary artery coming from the right coronary sinus. In the proximal portion of the left anterior ascending coronary artery, a critical stenotic lesion was identified. The cardiac CT angiography demonstrated a benign retroaortic course. The lesion was effectively treated utilising three drug-eluting stents.

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“…Commentary: There's always something new around the next bend Richard D. Mainwaring, MD I would like to congratulate Grau and colleagues 1 for an excellent article and video focusing on the technique of reimplantation for anomalous right coronary artery. This surgical technique has enjoyed a rise in popularity in recent years and has now been reported by multiple groups.…”

mentioning

confidence: 99%

Commentary: There's always something new around the next bend

Mainwaring

2021

JTCVS Techniques

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Reimplantation for anomalous right coronary artery

Cited by 7 publications

References 5 publications

Direct Coronary Artery Reimplantation of Anomalous Aortic Origin of the Right Coronary Artery: A Case Report

Direct Coronary Artery Reimplantation of Anomalous Aortic Origin of the Right Coronary Artery: A Case Report

Percutaneous Coronary Intervention For Treatment of Unusual Origin of the Left Main Artery: A Case Report

Commentary: There's always something new around the next bend

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