Julie A. Brothers, MD, Matthew A. Harris, MD

Slides:

Advertisements

Similar presentations

Ricardo L. Oliveira, MD, Moishe Liberman, MD, PhD

Advertisements

Autotransplantation for Threatened Cardiac Rupture After Left Ventricular Repair Hiroaki Hata, MD, PhD, Motomi Shiono, MD, PhD, Mitsuru Iida, MD, PhD,

Anomalous left coronary artery origin from the opposite sinus of Valsalva: Evidence of intermittent ischemia Julie Brothers, MD, Chris Carter, MD, Michael.

Papillary Fibroelastoma of the Aortic Wall With Partial Occlusion of the Right Coronary Ostium Can Yerebakan, MD, Andreas Liebold, MD, PhD, Gustav Steinhoff,

Matthew A. Harris, MD, Kevin K. Whitehead, MD, PhD, David C

Anomalous Left Coronary Artery in Hypertrophic Cardiomyopathy

Direct Reimplantation as an Alternative Approach for Treatment of Anomalous Aortic Origin of the Right Coronary Artery Kenta Izumi, MD, Manuel Wilbring,

Off-Pump Surgery for Multiple Coronary Artery Fistulas With Aneurysm

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

The Arterial Switch Procedure: Closed Coronary Artery Transfer

Massive Coronary Subclavian Steal Syndrome

Intramural Coronary Length Correlates With Symptoms in Patients With Anomalous Aortic Origin of the Coronary Artery Sunjay Kaushal, MD, PhD, Carl L.

Chia-Cheng Kuo, MD, Chung-Hsi Hsing, MD, PhD, Bor-Chih Cheng, MD

Poor Left Ventricular Performance in a Child With Coronary Sinus Stenosis: Successful Surgical Repair Sergey V. Gorbachevsky, MD, PhD, Anton A. Shmaltz,

Novel Beating Heart Repair for Anomalous Origin of Right Coronary Artery Yoshito Inoue, MD, PhD, Hiroyuki Kawajiri, MD, Satoru Suzuki, MD, Tomoki Tamura,

Confirmation of Anomalous Origin of the Right Coronary Artery From the Left Sinus of Valsalva With Magnetic Resonance Imaging Christian Machado, M.D.,

Single-Trunk Anomalous Origin of Both Coronary Arteries From Pulmonary Artery: Serendipitous Diagnosis and Successful Surgical Treatment Changwei Zhang,

Actual application of virtual angioscopy: Is it yet to come?

Value of Magnetic Resonance Imaging, Angiography, and Fractional Flow Reserve to Evaluate the Left Main Coronary Artery After Direct Surgical Angioplasty

Muhammad S. Khan, MD, Matthew R

Aneurysmal Aorto-Right Ventricular Tunnel

Single Ostium of the Right and Left Coronary Artery From the Right Pulmonary Artery Katarzyna Januszewska, MD, PhD, Hans-Gerd Kehl, MD, PhD, Edward Malec,

Hitesh Agrawal, MD, S. Kristen Sexson-Tejtel, MD, PhD, Athar M

Pseudoaneurysm of an Aortic Homograft

Cardiac Computed Tomography as an Imaging Modality in Coronary Anomalies Irem Karliova, MD, Peter Fries, MD, Jörg Schmidt, MD, Ulrich Schneider, MD, Ahmad.

Anatomic Rerouting of Anomalous Left Coronary Artery From Right Coronary Sinus Christoph Haller, MD, David Schibilsky, MD, Frank Al-Shajlawi, MD, Karl.

Successful aortic root remodeling for repair of a dilated pulmonary autograft after a ross- Konno procedure in early childhood Shintaro Nemoto, MD, PhD,

Anomalous Coronary Artery With Aortic Origin and Course Between the Great Arteries: Improved Diagnosis, Anatomic Findings, and Surgical Treatment Eldad.

Ganesh S. Kumpati, MD, Robert Gray, MD, Amit Patel, MD, David A

Qiang Chen, MD, Eleanor Soo, MRCS, Andrew J. P. Tometzki, Andrew J

Ricardo L. Oliveira, MD, Moishe Liberman, MD, PhD

Epicardial Pacemaker Lead-Induced Ventricular Tachycardia

Rupture of a Left Sinus of Valsalva Aneurysm With Coronary Compression: A Rare Cause of Ischemic Chest Pain Florim Cuculi, MD, Michele Rossi, MD, Kevin.

Leo Lopez, MD, Laura Mercer-Rosa, MD, Evan M. Zahn, MD, Nolan R

Aortic Elongation Induced Aortic Stenosis (AEAS)

Anomalous Origin of Left Pulmonary Artery From Left Subclavian Artery

Anomalous Aortic Origin of the Left Coronary Artery From the Right Coronary Sinus: Diagnosis and Surgical Repair of Intramural Retrovalvular Coronary.

Coronary Artery Fistulae Involving Both Right and Left Coronary Arteries Ahmet Bolukcu, MD, Ahmet Can Topcu, MD, Yavuz Sensoz, MD, Ilyas Kayacioglu, MD

Transposition of the great arteries with anomalous origin of the left coronary artery from the pulmonary artery Masaaki Yamagishi, MD, Takeshi Emmoto,

Coronary Arteriovenous Fistula in Continuity With the Aortic Arch

Commissural Closure for Repair of Mitral Commissural Prolapse

Excellent Long-Term Outcomes of the Arterial Switch Operation in Patients With Intramural Coronary Arteries Tyson A. Fricke, MBBS, BMedSci, Anne Eva.

Coronary Sinus Orifice Atresia After the Fontan Completion: Unique Repair Technique Shinya Yokoyama, MD, PhD, Takeo Yonekura, MD, PhD, Noboru Nishiwaki,

The Neonatal Arterial Switch Operation: How I Teach It

Aortic Translocation for the Management of Double-Outlet Right Ventricle and Pulmonary Stenosis With Dextrocardia: Technique to Avoid Coronary Insufficiency

Severe Two-Vessel Ostial Stenosis of the Main Coronary Arteries in a Patient With Transposition of the Great Arteries After an Arterial Switch Operation

Surgical Treatment of Transposition of the Great Arteries With Bilateral Intramural Coronary Arteries Enrico Cetrano, MD, Adriano Carotti, MD The Annals.

Iatrogenic Lesion of an Anomalous Circumflex Coronary Artery During Mitral Surgery Ana Lopez-Marco, MD, Aidil Syed, MD, Tom Combellack, MD, Dheeraj Mehta,

Surgical Management of Anomalous Aortic Origin of a Coronary Artery

Vikas Sharma, MBBS, Harold M. Burkhart, MD, Joseph A

Shyam Sathanandam, MD, T. K

Compression of an Anomalous Left Circumflex Artery After Aortic and Mitral Valve Replacement Prashant Vaishnava, MD, Robert Pyo, MD, Farzan Filsoufi,

David J. Kaczorowski, MD, Y. Joseph Woo, MD

Takotsubo Cardiomyopathy Following Pericardiocentesis After Aortic Valve Repair and Ascending Aorta Replacement Igor Belluschi, MD, Micaela Cioni, MD,

Iatrogenic Aortic Dissection: One or More Entities?

Aortopulmonary Window and Anomalous Coronary Artery: An Exceptional Association Carlo Pace Napoleone, MD, Guido Oppido, MD, Emanuela Angeli, MD, Simone.

Invited Commentary The Annals of Thoracic Surgery

Hypoplastic Left Heart Syndrome With Anomalous Origin of the Right Coronary Artery Julie Cleuziou, MD, Felix Haas, MD, Christian Schreiber, MD, Hans-Jörg.

Late Outcomes for Surgical Repair of Supravalvar Aortic Stenosis

Henry F Tripp, MD, Robert M Stiegel, MD, Joseph P Coyle, MD

Pediatric Coronary Artery Bypass After Arterial Switch Operation: Noninvasive Evaluation With ECG-Gated 64-Slice CT in Routine Practice Monia Jemmali,

Adam R. Williams, MD, Andrew Wang, MD, Han Kim, MD, Carmelo A

Kursad Oz, MD, Recep Demirhan, MD, Burak Onan, MD, Irfan Sancakli, MD

Kathryn L. O'Keefe, MD, Stephen D. Cohle, MD, Jeremiah E

Surgery for Anomalous Aortic Origin of the Coronary Artery

Michael H. Hines, MD, Neal D. Kon, MD The Annals of Thoracic Surgery

The Annals of Thoracic Surgery

Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery Associated With Severe Left Ventricular Dysfunction: Results in Normothermia Emre.

Postoperative Coronary Aneurysm Treated With Endovascular Coiling

Ascending Aortic Extension for Enlargement of the Aortopulmonary Space in Children with Pulmonary Artery Stenosis Craig J. Baker, MD, Winfield J. Wells,

Presentation transcript:

Right Coronary Artery From Right Sinus of Valsalva and Ventricular Tachycardia Julie A. Brothers, MD, Matthew A. Harris, MD The Annals of Thoracic Surgery Volume 98, Issue 3, Pages 1091-1094 (September 2014) DOI: 10.1016/j.athoracsur.2013.10.099 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Magnetic resonance imaging bright blood coronary angiography without contrast enhancement demonstrates that the left coronary artery (LCA) originates normally from the left sinus of Valsalva. The right coronary artery (RCA) origin is located more leftward than normal. On this image it is difficult to discern whether the origin of the RCA is within the right or left sinus as the intercoronary commissure is not clearly observed. (Ao = aorta; MPA = main pulmonary artery.) The Annals of Thoracic Surgery 2014 98, 1091-1094DOI: (10.1016/j.athoracsur.2013.10.099) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Virtual angioscopy technique is applied to Figure 1 with the virtual angioscopy camera focused on the right and left coronary origins from a position within the center of the aorta from a surgeon’s perspective. (B) The image demonstrates that the left coronary artery (LCA) origin is normal appearing: round and patent. In contrast, the right coronary artery (RCA) origin has an abnormal elliptical shape consistent with ostial stenosis. The abnormal RCA ostium cannot fully be observed from the center of the aorta. Furthermore, note that the RCA ostium is located to the right of the intercoronary commissure (ICC) within the right sinus of Valsalva. (I = inferior; L = left; R = right; S = superior.) The Annals of Thoracic Surgery 2014 98, 1091-1094DOI: (10.1016/j.athoracsur.2013.10.099) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Virtual angioscopy applied from a position tangential to the aortic wall near the left sinus and looking directly at the right coronary artery (RCA) origin (A) confirms that the ostium is elliptical and abnormal (B). Moreover, this technique can identify the tissue to be targeted for the unroofing operation (between the arrowheads). (I = inferior; L-Post = left posterior; R-Ant = right anterior; S = superior.) The Annals of Thoracic Surgery 2014 98, 1091-1094DOI: (10.1016/j.athoracsur.2013.10.099) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Electrocardiogram obtained near peak exercise during a maximal exercise stress test demonstrates short runs of ventricular tachycardia with a right bundle-branch block morphology at a rate of 150 to 230 beats/min. The Annals of Thoracic Surgery 2014 98, 1091-1094DOI: (10.1016/j.athoracsur.2013.10.099) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions