title: High anomalous origin of both coronary arteries in a patient with aortic valve disease.
abstract: High anomalous origin of both coronary arteries is extremely rare. We report the case of a patient with a right coronary artery that originated from the left surface of the ascending aorta approximately 25 mm above the sinotubular junction and a left coronary artery that originated from the sinotubular junction close to the non-left commissure. The patient also had persistent left superior vena cava. We diagnosed the anomaly preoperatively using 64-slice multidetector computed tomographic angiography. The detailed imaging information helped us to avoid coronary artery injury and perform the operation safely with adequate myocardial protection.
authors.affiliation: Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Hiroshima, Japan. hironobu12jp@yahoo.co.jp
authors.forename: Hironobu
authors.initials: H
authors.lastname: Morimoto
authors.forename: Shogo
authors.initials: S
authors.lastname: Mukai
authors.forename: Shogo
authors.initials: S
authors.lastname: Obata
authors.forename: Tomokuni
authors.initials: T
authors.lastname: Furukawa
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Hiraoka
mesh_terms: D000368:Aged; D000792:Angiography / Q000379:methods*; D001011:Aorta / Q000002:abnormalities; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging* / Q000601:surgery; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D012850:Sinus of Valsalva / Q000002:abnormalities / Q000000981:diagnostic imaging; D036542:Tomography, Spiral Computed / Q000379:methods*; D014683:Vena Cava, Superior / Q000002:abnormalities / Q000000981:diagnostic imaging