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

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Presentation on theme: "Novel Beating Heart Repair for Anomalous Origin of Right Coronary Artery  Yoshito Inoue, MD, PhD, Hiroyuki Kawajiri, MD, Satoru Suzuki, MD, Tomoki Tamura,"— Presentation transcript:

1 Novel Beating Heart Repair for Anomalous Origin of Right Coronary Artery 
Yoshito Inoue, MD, PhD, Hiroyuki Kawajiri, MD, Satoru Suzuki, MD, Tomoki Tamura, MD  The Annals of Thoracic Surgery  Volume 96, Issue 6, Pages e141-e143 (December 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Preoperative 3-dimensional computed tomography (CT) angiography showed that right coronary artery (RCA) originates from left sinus of Valsalva along the course between aorta and pulmonary trunk (dashied arrow). (Ao = ascending aorta; PA = pulmonary artery.) The Annals of Thoracic Surgery  , e141-e143DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The dissected anomalous origin of right coronary artery (RCA) from left coronary sinus (ARCA) (arrowheads) from left main trunk (arrow) to distal segment 2 (asterisk). Top caudal location. (Ao = ascending aorta; PA = pulmonary artery; RV = right ventricle.) The Annals of Thoracic Surgery  , e141-e143DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 The edge of anomalous origin of right coronary artery (ARCA) from left coronary sinus was trimmed for anastomosis by cutting back sufficiently to have a cobra hood–shaped anastomosis (dotted circle). Top caudal location. (Ao = ascending aorta.) The Annals of Thoracic Surgery  , e141-e143DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Completion of the anastomosis (arrow). There are no kinks, angulation, torsion, or stretching of the translocated coronary artery. Top caudal location. (Ao = ascending aorta; RV = right ventricle.) The Annals of Thoracic Surgery  , e141-e143DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Postoperative 3-dimensional computed tomography (CT) angiography showed patent right coronary artery (RCA) originating from right sinus (arrow) in the first patient. (Ao = ascending aorta; PA = pulmonary artery.) The Annals of Thoracic Surgery  , e141-e143DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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