Minimally Invasive Direct Coronary Artery Bypass—a Surgical Approach for Anomalous Right Coronary Artery From Left Aortic Sinus of Valsalva Uzi Izhar,

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Presentation transcript:

Minimally Invasive Direct Coronary Artery Bypass—a Surgical Approach for Anomalous Right Coronary Artery From Left Aortic Sinus of Valsalva Uzi Izhar, M.D., Amir Lerman, M.D., Byron A. Olney, M.D., Hartzell V. Schaff, M.D. Mayo Clinic Proceedings Volume 73, Issue 7, Pages 661-664 (July 1998) DOI: 10.1016/S0025-6196(11)64892-1 Copyright © 1998 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 Coronary angiograms. A, Left anterior oblique projection, showing anomalous origin of right coronary artery (long arrow) arising from left sinus of Valsalva (open arrow), adjacent and superior to left main coronary artery ostium (short arrow). B, Right anterior oblique projection, showing proximal narrowing (arrow) of right coronary artery Mayo Clinic Proceedings 1998 73, 661-664DOI: (10.1016/S0025-6196(11)64892-1) Copyright © 1998 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Intracoronary Doppler study, showing baseline coronary flow measurement during diastole (D) and systole (S) (lower left) and response of coronary flow to intracoronary injection of 12 μg of adenosine (lower right). Coronary flow reserve was 4.9. (Coronary flow reserve is calculated as ratio between flow after intracoronary injection of adenosine and baseline flow.) Mayo Clinic Proceedings 1998 73, 661-664DOI: (10.1016/S0025-6196(11)64892-1) Copyright © 1998 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 Immediate postoperative coronary angiography, showing patent anastomosis (arrow) between right internal mammary artery and right coronary artery. Mayo Clinic Proceedings 1998 73, 661-664DOI: (10.1016/S0025-6196(11)64892-1) Copyright © 1998 Mayo Foundation for Medical Education and Research Terms and Conditions