Direct coronary reimplantation for anomalous origin of the right coronary from the left sinus of Valsalva.
A 41-year-old man was diagnosed with anomalous origin of the right coronary artery from the left sinus of Valsalva with a slit ostium. Surgery was offered to the patient in view of his young age and the unpredictable natural history of the disease. Direct reimplantation of the right coronary artery to the right sinus was performed under cardiopulmonary bypass. The patient recovered uneventfully. Postoperative coronary angiography showed good patency of the reconstructed artery while exercise thallium scintigraphy showed no ischemic change. Excellent longevity of the directly reimplanted coronary artery can be expected.
Department of Thoracic and Cardiovascular Surgery, Saga Medical School, 5-1-1 Nabeshima, Saga City 849-8501, Japan. furukawk@post.saga-med.ac.jp
Kojiro
K
Furukawa
Masayuki
M
Sakaguchi
Satoshi
S
Ohtsubo
Tsuyoshi
T
Itoh