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

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Presentation transcript:

Direct Reimplantation as an Alternative Approach for Treatment of Anomalous Aortic Origin of the Right Coronary Artery Kenta Izumi, MD, Manuel Wilbring, MD, Jürgen Stumpf, MD, Klaus Matschke, MD, Utz Kappert, MD The Annals of Thoracic Surgery Volume 98, Issue 2, Pages 740-742 (August 2014) DOI: 10.1016/j.athoracsur.2013.12.075 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Axial magnetic resonance imaging shows anomalous right coronary artery (arrow) originating from the left aortic sinus with an intramural segment between the aorta (Ao) and the pulmonary artery (MPA). The Annals of Thoracic Surgery 2014 98, 740-742DOI: (10.1016/j.athoracsur.2013.12.075) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A schema of the surgical procedure; the right coronary artery (RCA) was transected, distal to the intramural segment where the RCA emerges from the aortic wall. The proximal end was sewn over. The aorta (Ao) in the right coronary sinus was punched out and subsequently directly reimplanted. (LAD = left anterior descending artery; LCA = left coronary artery; LCX = left circumflex branch; PA = pulmonary artery.) The Annals of Thoracic Surgery 2014 98, 740-742DOI: (10.1016/j.athoracsur.2013.12.075) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions