Anatomic Rerouting of Anomalous Left Coronary Artery From Right Coronary Sinus Christoph Haller, MD, David Schibilsky, MD, Frank Al-Shajlawi, MD, Karl K. Haase, MD, Christian Schlensak, MD The Annals of Thoracic Surgery Volume 99, Issue 6, Pages 2234-2236 (June 2015) DOI: 10.1016/j.athoracsur.2015.01.069 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions
Fig 1 (A) Aortic root fluoroscopy showing origin of both coronary arteries from the right coronary sinus (black circle = right coronary artery origin; dotted circle = left coronary artery origin). (B) Magnetic resonance imaging (MRI) delineating the interarterial course of the left coronary artery (arrows = left coronary artery). (C) Postoperative MRI follow-up showing an unobstructed wide coronary neo-ostium (arrow = left coronary artery). The Annals of Thoracic Surgery 2015 99, 2234-2236DOI: (10.1016/j.athoracsur.2015.01.069) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions
Fig 2 (A) Partial anastomosis of an anomalous coronary artery to longitudinally incised aortic root. (B) Patch augmentation of longitudinal incision and initial segment of coronary artery. Asterisk indicates commissure between the right and left coronary sinus; solid arrow indicates the location directly opposite to the commissure where the coronary course starts to direct away from the aortic wall; and dotted arrow indicates original ostium of the left coronary artery in close proximity to the right coronary ostium. The Annals of Thoracic Surgery 2015 99, 2234-2236DOI: (10.1016/j.athoracsur.2015.01.069) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions