Coronary artery obstruction due to membranous ridge of the right sinus valsalva associated with Tetralogy of Fallot: syncope mimics anoxic spell Isao.

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Presentation transcript:

Coronary artery obstruction due to membranous ridge of the right sinus valsalva associated with Tetralogy of Fallot: syncope mimics anoxic spell Isao Shiraishi, MD, Masaaki Yamagishi, MD, Kentaro Toiyama, MD, Yu Osawa, MD, Masao Nakagawa, MD, Akiyuki Takahashi, MD, Keisuke Shuntoh, MD, Kenji Hamaoka, MD The Annals of Thoracic Surgery Volume 77, Issue 1, Pages 321-322 (January 2004) DOI: 10.1016/S0003-4975(03)00751-3

Fig 1 (A) Transesophageal echocardiogram of the patient at the level sinus Valsalva. (B) Schematic diagram of the sinus Valsalva; arrow indicates abnormal membranous ridge. (C and D) Operative findings of the sinus Valsalva. The abnormal ridge (C, arrow) is completely removed from the right sinus Valsalva (D, arrow). (LCA = left coronary artery; LCC = left coronary cusp; NCC = noncoronary cusp; RCA = right coronary artery; RCC = right coronary cusp.) The Annals of Thoracic Surgery 2004 77, 321-322DOI: (10.1016/S0003-4975(03)00751-3)

Fig 2 (A) Aortogram of the right oblique view before the surgical repair; arrow indicates abnormal membranous ridge. (B) Aortogram of the anterior view of the right sinus Valsalva (arrow) 14 months after the surgery. The Annals of Thoracic Surgery 2004 77, 321-322DOI: (10.1016/S0003-4975(03)00751-3)