JTCS KCI
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 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):
T. Sloane Guy
Elaine Tseng
Mark B. Ratcliffe
Anthony Azakie
Tom R. Karl
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Guy, T. S.
Right arrow Articles by Karl, T. R.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Guy, T. S.
Right arrow Articles by Karl, T. R.
Related Collections
Right arrow Coronary disease

J Thorac Cardiovasc Surg 2009;137:e50-e51
© 2009 The American Association for Thoracic Surgery

Brief Communication

A simple correction for anomalous coronary arteries in adults

T. Sloane Guy, MD, MBAa,b,*, Elaine Tseng, MDa,b, Mark B. Ratcliffe, MDa,b, Anthony Azakie, MDa, Tom R. Karl, MS, MDa

a Department of Surgery, University of California, San Francisco, Calif
b Department of Surgery, San Francisco Veterans Administration Medical Center, San Francisco, Calif

Received for publication February 26, 2008; revisions received April 13, 2008; accepted for publication May 16, 2008.

* Address for reprints: T. Sloane Guy, MD, MBA, Department of Surgery, UCSF, San Francisco VA Medical Center, 4150 Clement St, San Francisco, CA 94121. (Email: sloane.guy@va.gov).

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

Although the risk of sudden death in children and young adults with anomalous coronary arteries arising from the wrong sinus of Valsalva is well described, the risk for older adults who present with such anatomy is unclear.1Go Age greater than 30 years has been shown to impart a diminished risk of sudden death, although it can occur in older adults.2Go Although simple coronary artery bypass for these patients has been described, the outcome can be hampered by competitive flow in the absence of concomitant coronary disease, and poor long-term patency can be expected.3Go Other techniques include internal unroofing, either across the commissural post or not, with a possible effect on aortic valve function.4Go We report a simple physiologic approach previously described in children and adolescents and now used in 2 cases of symptomatic adult patients with anomalous coronary arteries arising from the wrong sinus of Valsalva with . . . [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 © 2009 by The American Association for Thoracic Surgery.