Minimal Invasive Transfer of the Anomalous Right Coronary from the Left Sinus of Valsalva

Balázs Matlakovics

Department of Cardio-Thoracic and Vascular Surgery, Hungarian Defence Forces-Health Centre, Hungary

^*Correspondance to: Bal�zs Matlakovics 

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Abstract:

Background: The cases of anomalous origin of the right coronary are rare, but the symptoms of the disease are serious because of the coronary blood flow disturbances. Case
Presentation: A 44-years old man was visited to our department with the signs of coronary ischemia, normal echocardiography (EF: 64%, EDD/ESD: 47/30 mm, IVS: 9 mm, no wall motion disorders). At the ECG gated coronary CTA a right coronary anomaly (the RCA originated from the left sinus valsalva and run between the aorta and pulmonary trunk) was shown. Open heart surgery was done by upper J mini-sternotomy, and the RCA was replanted to the right sinus of valsalva. No early postoperative complication was observed. No stenosis of the RCA or the orifices of the RCA were found at the late (6 month) ECG gated coronary CTA. Conclusion: The coronary anomalies in the adulthood are rare, but the anatomical correction (without bypass graft or tunnel) is possible by minimal invasive surgical way.

Keywords:

Coronary anomaly; Minimally invasive surgical procedure; Mini-sternotomy

Cite the Article:

Matlakovics B. Minimal Invasive Transfer of the Anomalous Right Coronary from the Left Sinus of Valsalva. Ann Clin Case Rep. 2018; 3: 1563.