title: Surgical correction of left coronary artery origin from the right coronary artery.
abstract: We describe the case of a patient with limiting angina pectoris and anomalous origin of the left coronary artery from the right coronary artery, with a retroaortic course. Myocardial ischemia in the left anterior descending territory was documented by positron emission tomography, confirmed by fractional flow reserve, and relieved by surgical coronary reimplantation. This patient did not have coronary atherosclerosis or any other significant anatomic abnormality, such as myocardial bridging or compression between the aorta and the pulmonary artery. We attempt to describe the mechanisms of myocardial ischemia that contributed to the clinical manifestations in our patient.
authors.affiliation: Invasive Cardiology Unit, Fondazione Toscana G. Monasterio, Pisa, Italy. michecoc@ftgm.it
authors.forename: Michele
authors.initials: M
authors.lastname: Coceani
authors.forename: Marco
authors.initials: M
authors.lastname: Ciardetti
authors.forename: Emilio
authors.initials: E
authors.lastname: Pasanisi
authors.forename: Mathis
authors.initials: M
authors.lastname: Schlueter
authors.forename: Cataldo
authors.initials: C
authors.lastname: Palmieri
authors.forename: Danilo
authors.initials: D
authors.lastname: Neglia
authors.forename: Roberto
authors.initials: R
authors.lastname: Sciagrà
authors.forename: Mattia
authors.initials: M
authors.lastname: Glauber
authors.forename: Daniele
authors.initials: D
authors.lastname: Rovai
mesh_terms: D000328:Adult; D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D014656:Vascular Surgical Procedures / Q000379:methods