JTCS Medtronic Endurant
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Giovanni Battista Luciani
Luca Barozzi
Alessandro Mazzucco
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Luciani, G. B.
Right arrow Articles by Mazzucco, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Luciani, G. B.
Right arrow Articles by Mazzucco, A.
Related Collections
Right arrow Coronary disease

J Thorac Cardiovasc Surg 2006;132:970-972
© 2006 The American Association for Thoracic Surgery

Brief Communication

Repair of anomalous right and circumflex coronary arteries arising from the pulmonary artery

Giovanni Battista Luciani, MDa,*, Fauzia Vendrametto, MDb, Luca Barozzi, MDa, Rainer Oberhollenzer, MDb, Walter Pitscheider, MDb, Alessandro Mazzucco, MDa

a Division of Cardiac Surgery, University of Verona, Verona, Italy
b Division of Cardiology, Bolzano City Hospital, Bolzano, Italy.

Received for publication March 21, 2006; revisions received May 5, 2006; accepted for publication May 12, 2006.

* Address for reprints: Giovanni Battista Luciani, MD, Division of Cardiac Surgery, University of Verona, O. C. M. Piazzale Stefani 1, Verona 37126, Italy. (Email: gbluciani@yahoo.com).

The first 20% of the full text of this article appears below.

Anomalous origin of the right coronary artery (RCA) from the pulmonary artery (PA; ARCAPA) is a rare congenital anomaly. In the last 40 years, 72 cases have been described, and 40 patients have undergone repair.1-3Go Origin of the circumflex coronary artery (CxA) from the PA (ACCAPA) is even more unusual, with only 12 patients identified in the literature.4,5Go Contrary to ARCAPA, anomalous origin of the CxA is frequently associated with other cardiac anomalies, although isolated ACCAPA has been reported.4,5Go Different from the low mortality (5%) associated with repair of the former anomaly,1-3Go the risk of operation for ACCAPA appears high (29%).4Go Here we describe a previously unreported congenital anomaly consisting of origin of both the RCA and CxA from the main PA successfully repaired by means of coronary reimplantation.

Clinical Summary

A 51-year-old man with an unremarkable clinical history had an incidental electrocardiographic (EKG) finding of inferior wall myocardial infarction. Treadmill exercise testing confirmed inferolateral ischemia, which was reversible on exercise Thallium-201 scintigraphic scanning. Preoperative echocardiographic examination showed normal left ventricular dimensions (end-diastolic diameter, 58 mm; end-systolic diameter, 38), preserved function (ejection fraction, 58%), and mild mitral regurgitation. Coronary angiography demonstrated a dilated and tortuous left anterior descending artery (Figure 1) freely connected with a dilated and tortuous RCA through the posterior descending artery, septal branches, and a mesh of . . . [Full Text of this Article]






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2006 by The American Association for Thoracic Surgery.