Document Detail


Aberrant origin of the right coronary artery: diagnostic and surgical aspects.
MedLine Citation:
PMID:  8911847     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 43-year-old man with angina for 15 years underwent coronary angiography, which showed an anomalous origin of the right coronary artery (RCA) from the left sinus of Valsalva with a 30-40% fibrous stenosis in the proximal part of the artery, which was presumably responsible for the patient's symptoms. Myocardial scintigraphy (Tc-99 m Cardiolite) suggested reversible ischemia at the apex and the posterior wall of the ventricles. After coronary bypass and anastomosis of the right internal mammary artery (RIMA) to the middle segment of RCA, the patient was asymptomatic; however, a postoperative myocardial scintigraphy indicated that the myocardial ischemia was irreversible.
Authors:
S L Nielsen; D Steinbrüchel; H H Kure
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  10     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1996  
Date Detail:
Created Date:  1997-03-18     Completed Date:  1997-03-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  913-5     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic and Vascular Surgery, Skejby Sygehus, Aarhus University Hospital, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Adult
Coronary Angiography
Coronary Artery Bypass
Coronary Circulation / physiology
Coronary Vessel Anomalies / diagnosis,  surgery*
Humans
Male
Myocardial Ischemia / diagnosis,  surgery
Postoperative Complications / diagnosis
Recurrence
Sinus of Valsalva / abnormalities,  surgery
Technetium / diagnostic use
Technetium Tc 99m Sestamibi / diagnostic use
Chemical
Reg. No./Substance:
109581-73-9/Technetium Tc 99m Sestamibi; 7440-26-8/Technetium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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