Ross procedure for congenital aortic insufficiency and an associated right intramural coronary artery.
A 7-year-old boy diagnosed with aortic insufficiency was treated with a Ross procedure and he had an associated right intramural coronary artery. Although preoperative angiocardiography showed that the right and left coronary artery orifices were close together, a right intramural coronary artery could not be diagnosed by transthoracic echocardiography. Intraoperative findings showed that the right coronary artery was intramural for a distance of 7 mm. As a result, a longer single coronary button was harvested and transplanted to the pulmonary autograft. The postoperative course was uneventful; coronary ischemia did not occur and aortic valve function was preserved.
Takabayashi
Shin
S
Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, Tsu, Mie, Japan.
Shimpo
Hideto
H
Miyake
Yoichiro
Y
D001022:Aortic Valve Insufficiency / Q000151:congenital* / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000150:complications*; D006801:Humans; D008297:Male