Document Detail

High anomalous origin of the right coronary artery associated with aortic stenosis: a word of caution.
MedLine Citation:
PMID:  20172167     Owner:  NLM     Status:  MEDLINE    
We report a case with rare anomalous origins of the right coronary artery that arises from the ascending aorta. An 82-year-old woman scheduled for aortic valve replacement for severe aortic stenosis was incidentally found to have an unusual origin of the right coronary artery during routine screening for coronary artery disease by preoperative 64-slice multi-detector row computed tomographic angiography. The artery originated from the left surface of the ascending aorta approximately 2 cm above the sinotubular junction, where the transverse aortotomy is routinely placed. This detection resulted in avoidance of an intraoperative interruption of the right coronary artery. A preoperative multi-detector row computed tomography angiographic scan was very useful not only for evaluation of the coronary artery disease, but also for detection of a rare anomalous origin of the right coronary artery.
Hiroyuki Nishi; Masataka Mitsuno; Hiroe Tanaka; Masaaki Ryomoto; Shinya Fukui; Yuji Miyamoto
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  89     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-22     Completed Date:  2010-03-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  961-3     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Department of Cardiovascular Surgery, Hyogo College of Medicine, Hyogo, Japan.
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MeSH Terms
Aged, 80 and over
Aortic Valve Stenosis / complications*,  radiography,  surgery
Coronary Angiography
Coronary Vessel Anomalies / complications*,  radiography
Tomography, X-Ray Computed

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