Unusual right coronary artery anomaly with major implication during cardiac operations.
We report a case in which an unrevealed high origin of the right coronary artery (almost 4 cm above the left coronary sinus) led to major complications during a routine atrial septal defect closure. We stress that, in absence of preoperative coronary angiography, coronary artery anomalies should always be considered and minimal ascending aorta manipulation and antegrade/ retrograde myocardial protection should be recommended.
Gaudino
M
M
Department of Cardiac Surgery, Catholic University, Rome, Italy.
Glieca
F
F
Bruno
P
P
Piancone
F L
FL
Alessandrini
F
F
Possati
G
G
D000293:Adolescent; D001011:Aorta / Q000002:abnormalities / Q000601:surgery; D016063:Blood Loss, Surgical; D017023:Coronary Angiography; D003326:Coronary Circulation; D003330:Coronary Vessel Anomalies / Q000150:complications*; D006324:Heart Arrest, Induced; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D017202:Myocardial Ischemia / Q000209:etiology; D011300:Preoperative Care