HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Nielsen, S. L. Articles by Kure, H. H. Search for Related Content PubMed PubMed Citation Articles by Nielsen, S. L. Articles by Kure, H. H.

European Journal of Cardio-Thoracic Surgery, Vol 10, 913-915, Copyright © 1996 by European Association for Cardio-thoracic Surgery

ARTICLES

Aberrant origin of the right coronary artery: diagnostic and surgical aspects

SL Nielsen, D Steinbruchel and HH Kure
Department of Cardiothoracic and Vascular Surgery, Skejby Sygehus, Aarhus University Hospital, Denmark.

A 43-year-old man with angina for 15 years underwent coronary angiography, which showed an anomalous origin of the right coronary artery (RCA) from the left sinus of Valsalva with a 30-40% fibrous stenosis in the proximal part of the artery, which was presumably responsible for the patient's symptoms. Myocardial scintigraphy (Tc-99 m Cardiolite) suggested reversible ischemia at the apex and the posterior wall of the ventricles. After coronary bypass and anastomosis of the right internal mammary artery (RIMA) to the middle segment of RCA, the patient was asymptomatic; however, a postoperative myocardial scintigraphy indicated that the myocardial ischemia was irreversible.