Anomalous Aortic Origin of a Coronary Artery: Surgical Repair With Anatomic- and Function-Based Follow-Up Eric N. Feins, MD, Doreen DeFaria Yeh, MD,

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Presentation transcript:

Anomalous Aortic Origin of a Coronary Artery: Surgical Repair With Anatomic- and Function-Based Follow-Up Eric N. Feins, MD, Doreen DeFaria Yeh, MD, Ami B. Bhatt, MD, Ada Stefanescu, MD, Mohamed A. Youniss, MD, Brian B. Ghoshhajra, MD, Ignacio Inglessis-Azuaje, MD, Richard R. Liberthson, MD, Thomas E. MacGillivray, MD The Annals of Thoracic Surgery Volume 101, Issue 1, Pages 169-176 (January 2016) DOI: 10.1016/j.athoracsur.2015.07.003 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Intraoperative photograph of an anomalous right coronary artery (RCA) arising above and to the left of the intercoronary commissure. The RCA has an angulated slit-like ostium. (Thick arrow = anomalous RCA ostium; thin arrow = intercoronary commissure; arrowhead = left main coronary artery [LMCA].) The Annals of Thoracic Surgery 2016 101, 169-176DOI: (10.1016/j.athoracsur.2015.07.003) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Intraoperative photograph of neo-ostium creation after unroofing. The right coronary artery (RCA) neo-ostium is patulous and no longer possesses the angulated slit-like orifice. The Annals of Thoracic Surgery 2016 101, 169-176DOI: (10.1016/j.athoracsur.2015.07.003) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative photographs of a coronary translocation. (A) Angulated slit-like ostium of the anomalous RCA (arrow) viewed from the aortic lumen. (B) Proximal RCA (arrow) arising to the left of the intercoronary commissure with a very short intramural course. (C) Right coronary artery (RCA) transected at its takeoff from the aorta (arrow). (D) Intraluminal view of the neo-ostium located in the right coronary sinus. (E) Extraluminal view of the RCA exiting the appropriate sinus. The Annals of Thoracic Surgery 2016 101, 169-176DOI: (10.1016/j.athoracsur.2015.07.003) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions