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Anomalous Aortic Origin of the Left Coronary Artery From the Right Coronary Sinus: Diagnosis and Surgical Repair of Intramural Retrovalvular Coronary.

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Presentation on theme: "Anomalous Aortic Origin of the Left Coronary Artery From the Right Coronary Sinus: Diagnosis and Surgical Repair of Intramural Retrovalvular Coronary."— Presentation transcript:

1 Anomalous Aortic Origin of the Left Coronary Artery From the Right Coronary Sinus: Diagnosis and Surgical Repair of Intramural Retrovalvular Coronary Artery  Mangesh Jadhav, MD, Andreas Pflaumer, MD, Phillip S. Naimo, MD, Igor E. Konstantinov, MD, PhD  The Annals of Thoracic Surgery  Volume 100, Issue 6, Pages (December 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Computed tomography shows (A and B) left coronary artery origin from the right coronary sinus and its proximal interarterial course and (C and D) its intramural course in relation to aortic the valve. (A and B) The venous cannula is in the right atrium. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Illustration shows the origin and course of the anomalous left coronary artery (LCA) from the right coronary sinus. (B) Intraoperatively, the aortic valve cusp was detached, exposing a retrovalvular intramural course of the LCA. (C) This maneuver allowed unroofing of the intramural LCA. (C and D) The LCA button was then rotated approximately 60 degrees clockwise and was transposed to the left coronary sinus. (RCA = right coronary artery.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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