Anomalous aortic origin of the right coronary artery. An unusual cause of angina pectoris and its surgical correction.
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.
Tsang
G M
GM
Department of Cardiac Surgery, Queen Elizabeth Hospital, Edgbaston Birmingham, UK.
Pagano
D
D
Beattie
J M
JM
Bonser
R S
RS
D000787:Angina Pectoris / Q000209:etiology* / Q000601:surgery; D001011:Aorta / Q000002:abnormalities* / Q000601:surgery; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000209:etiology / Q000601:surgery; D005082:Physical Exertion