European Journal of Cardio-Thoracic Surgery, Vol 9, 715-716, Copyright © 1995 by European Association for Cardio-thoracic Surgery
Anomalous aortic origin of the right coronary artery. An unusual cause of angina pectoris and its surgical correction
GM Tsang, D Pagano, JM Beattie and RS Bonser
Department of Cardiac Surgery, Queen Elizabeth Hospital, Edgbaston Birmingham, UK.
A 45-year-old female presented with typical recent-onset exertional angina
pectoris. Subsequent investigation showed that the likely cause was an
aberrant origin of the right coronary artery arising from the left coronary
sinus. This anomaly is uncommon and is not usually associated with angina
pectoris. Surgical rerouting of the origin of the right coronary artery
produced complete resolution of ischaemia.