RT Generic
T1 Anomalous right coronary artery originating from the left main coronary artery with a course between the great vessels: A surgical management of a case and a review
A1 Rodriguez Mora, Felipe
A1 Borrego Dominguez, Jose M.
A1 Gutierrez Carretero, Encarnacion
A1 Hernandez Fernandez, Ana M.
A1 Adsuar Gomez, Alejandro
A1 Gonzalez Calle, Antonio
K1 Anomalous coronary artery
K1 Great vessels
K1 Right coronary artery
K1 Coronary artery by pass grafting
K1 Aortic origin
K1 Repair
AB Anomalies of the coronary arteries are rare congenital disorders that because of their anomalous course can produce symptoms in some cases, such as angina, syncope or even sudden death. Furthermore, their therapeutic management is not well established. The case is presented of a 64 year-old male with symptoms of chest pain and repeated syncope, in which a single coronary artery is discovered with a right coronary artery that originates from the left main coronary artery and runs between the great arteries. The compression exercised by these structures is responsible for the patient's clinical condition, thus a more appropriate therapy is decided, such as a surgical approach involving the translocation of the right coronary artery to the corresponding sinus of Valsalva. This prevents the compression produced by the great arteries, as well as the need for coronary bypass surgery.The patient is asymptomatic at seven months after surgery. The surgical management of symptomatic coronary anomalies can be a safe alternative, especially incases in which the coronary anatomy helps to avoid a bypass. (C) 2016 Sociedad Espanola de Cirugia Toracica-Cardiovascular. Published by Elsevier Espana, S.L.U.
PB Elsevier science bv
SN 1134-0096
YR 2017
FD 2017-03-01
LK http://hdl.handle.net/10668/18719
UL http://hdl.handle.net/10668/18719
LA es
DS RISalud
RD Apr 8, 2025