Surgical Therapy for Anomalous Aortic Origin of a Coronary Artery

Furukawa, Kojiro; Shiose, Akira

doi:10.7793/jcad.25.011

Cited by 4 publications

(2 citation statements)

References 31 publications

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“…CABG carries its own set of risks including graft failure and decreased patency of the grafted vessel over time; however, it does eliminate the need to open and manipulate the aorta reducing the possibility of aortic insufficiency. Coronary artery disease can complicate reimplantation or a surgical unroofing procedure in the presence of a proximal plaque making CABG an increasingly more attractive option in these patients [36,37]. Reimplantation of a coronary artery involves a surgical restoration of coronary vessel anatomy by reimplanting the affected vessel into the correct anatomical location, unlike surgical unroofing.…”

Section: Surgical Managementmentioning

confidence: 99%

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An Unusual Presentation of Syncope in an Elderly Male Leading to a Diagnosis of an Anomalous Right Coronary Artery

Avizov,

Mirza,

Bargout

2023

Cureus

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Various coronary artery anomalies have been identified in modern literature with most being benign in nature. Generally, these anomalous vessels are clinically silent due to their non-obstructive or benign course. It is vital to identify patients with malignant courses of these vessels as their initial presenting symptom might be sudden cardiac death. A 74-year-old male presented to the hospital following an episode of syncope and incontinence. Denying any symptoms of chest pain or shortness of breath, the patient did admit to having a six-month history of intermittent lightheadedness and one prior episode of syncope that was attributed to physical activity. Cardiac nuclear stress testing revealed a large reversible inferior wall defect indicating a defect with the right coronary artery. Cardiac catheterization demonstrated a history of coronary artery disease and revealed an anomalous origin of the right coronary artery. A coronary CT angiogram identified the right coronary artery as having an abnormal origin from the left sinus of Valsalva with a malignant interarterial route. The patient underwent a coronary artery bypass graft to correct the issue. There were no major postoperative complications. Treatment guidelines for patients suffering from malignant coronary artery anomalies are limited. Despite multiple surgical interventions available, data regarding conservative medical management is limited and should be of consideration in future studies.

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Section: Surgical Managementmentioning

confidence: 99%

“…The table summarizes commonly performed surgical interventions for anomalous coronary arteries, their respective indications, risks, benefits, and/or complications. Please note, this is a summary and not a comprehensive list.References used in the creation of the table:Jaggers et al (2008) [36],Furukawa et al (2019) [37], andRodefeld et al (2001) …”

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confidence: 99%

An Unusual Presentation of Syncope in an Elderly Male Leading to a Diagnosis of an Anomalous Right Coronary Artery

Avizov,

Mirza,

Bargout

2023

Cureus

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Personalized surgical treatment options for anomalous origin of right coronary artery: Two case reports

Ramírez

Sobrinos

Giron

et al. 2022

Cirugía Cardiovascular

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The reimplantation of anomalous aortic origin of the right coronary artery under lower mini-sternotomy

Maekawa,

Yamanaka,

Onga

et al. 2024

Journal of Surgical Case Reports

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The patient was 28-year-old male. He was suffered from chest pain at rest. He was diagnosed with AAORCA (anomalous aortic origin of the right coronary artery) by emergency catheter. Myocardial scintigraphy indicated ischemic changes in the right coronary artery region, so surgery was the plan. Reimplantation was selected because the coronary artery computed tomography showed little intramural travel and mild coronary artery stenosis. The surgery was performed under lower mini-sternotomy to facilitate early return to work. The patient had a good postoperative course, and was discharged from the hospital postoperative Day 11 after rehabilitation. We report a case of the right coronary artery reimplantation with lower mini-sternotomy for AAORCA.

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Surgical Therapy for Anomalous Aortic Origin of a Coronary Artery

Cited by 4 publications

References 31 publications

An Unusual Presentation of Syncope in an Elderly Male Leading to a Diagnosis of an Anomalous Right Coronary Artery

An Unusual Presentation of Syncope in an Elderly Male Leading to a Diagnosis of an Anomalous Right Coronary Artery

Personalized surgical treatment options for anomalous origin of right coronary artery: Two case reports

The reimplantation of anomalous aortic origin of the right coronary artery under lower mini-sternotomy

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