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Ross procedure in the setting of anomalous aortic origin of a coronary artery  Amit Pawale, MD, Bobby Yanagawa, MD, PhD, Robin Varghese, MD, Paul Stelzer,

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Presentation on theme: "Ross procedure in the setting of anomalous aortic origin of a coronary artery  Amit Pawale, MD, Bobby Yanagawa, MD, PhD, Robin Varghese, MD, Paul Stelzer,"— Presentation transcript:

1 Ross procedure in the setting of anomalous aortic origin of a coronary artery 
Amit Pawale, MD, Bobby Yanagawa, MD, PhD, Robin Varghese, MD, Paul Stelzer, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 150, Issue 4, Pages (October 2015) DOI: /j.jtcvs Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Patient 1. A and B, Three-dimensional reconstructed CT scan showing LAD arising from the right coronary sinus with an inter-arterial course. C, Intraoperative view showing LAD arising from the right coronary sinus, coursing behind the right ventricular outflow tract. CX, Circumflex; LAD, left anterior descending; RCA, right coronary artery; RI, ramus intermedius; RVOT, right ventricular outflow tract. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Patient 2. A, Three-dimensional reconstructed CT scan showing RCA arising from left main stem. B, Intraoperative view of the RCA arising from left main stem and anomalous RCA (C) reimplanted in the pulmonary autograft. AA, Ascending aorta; CX, circumflex; LAD, left anterior descending; RCA, right coronary artery; RVOT, right ventricular outflow tract. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Patient 3. A, Anomalous CX arising from the right coronary sinus and coursing around the noncoronary and left coronary sinuses. B, Intraoperative view of anomalous CX arising from the right coronary sinus, with a probe in the CX showing its course and RCA and CX origins (C) reimplanted as a single button in the pulmonary autograft. CX, Circumflex; RCA, right coronary artery; RVOT, right ventricular outflow tract. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

5 Intraoperative images. A, LAD from the right sinus
Intraoperative images. A, LAD from the right sinus. B, RCA from the left main. C, CX from the right sinus. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

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