Anomalous coronary arteries coursing between the aorta and pulmonary trunk: clinical indications for coronary artery bypass

Abstract Anomalous coronary arteries from the pulmonary artery are uncommon causes of heart failure in the adult population. This case demonstrates the unusual presentation in a patient with anomalous right coronary artery from the pulmonary artery and discusses the complex pathophysiology of this lesion and the role of guideline-directed medical therapy in the management of these patients.

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Composition of Human Atheroma Collected from Coronary Arteries during Coronary Artery Bypass Surgery

Advances in Bioscience and Biotechnology ◽

10.4236/abb.2021.1210021 ◽

2021 ◽

Vol 12 (10) ◽

pp. 323-336

Author(s):

Mayank Acharya ◽

Pranab Karmaker ◽

Md. Moniruzzaman ◽

Abu Hasan ◽

Sumiya Aktar ◽

...

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass ◽

Coronary Arteries ◽

Coronary Artery Bypass Surgery ◽

Bypass Surgery ◽

Artery Bypass ◽

Human Atheroma

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Implications of coronary artery bypass grafting and percutaneous coronary intervention on disease progression and the resulting changes to the physiology and pathology of the native coronary arteries

European Journal of Cardio-Thoracic Surgery ◽

10.1093/ejcts/ezy171 ◽

2018 ◽

Vol 54 (5) ◽

pp. 809-816 ◽

Cited By ~ 4

Author(s):

Jacqueline H Fortier ◽

Giovanni Ferrari ◽

David Glineur ◽

Mario Gaudino ◽

Richard E Shaw ◽

...

Keyword(s):

Percutaneous Coronary Intervention ◽

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Disease Progression ◽

Coronary Artery Bypass ◽

Coronary Arteries ◽

Artery Bypass ◽

Coronary Intervention ◽

Bypass Grafting ◽

Percutaneous Coronary

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Anomalous aortic origin of a coronary artery: a universally applicable surgical strategy

Cardiology in the Young ◽

10.1017/s1047951110001083 ◽

2010 ◽

Vol 20 (S3) ◽

pp. 44-49 ◽

Cited By ~ 10

Author(s):

Tom R. Karl ◽

Sylvio C. J. Provenzano ◽

Graham R. Nunn

Keyword(s):

Coronary Artery ◽

Left Pulmonary Artery ◽

Ascending Aorta ◽

Pulmonary Trunk ◽

Cardiac Anomaly ◽

Sinus Of Valsalva ◽

The Right ◽

Arterial Malformation ◽

Anomalous Coronary ◽

Anomalous Coronary Arteries

AbstractThe most commonly reported coronary arterial malformation, in accounts of sudden deaths, is anomalous aortic origin of a coronary artery. Anomalous coronary arteries may arise from the left, right, or non-coronary sinuses of Valsalva. Importantly, although the left coronary artery from the right sinus has the worst prognosis, sudden death has been reported in all variants of origin from the various sinuses of Valsalva. This paper describes a technique that addresses all of the problems relating to anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva. This technique includes the transection of the ascending aorta and pulmonary trunk, coronary arterial enlargement with a pericardial patch, and lateral translocation of the pulmonary trunk to the left pulmonary artery. Anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva is a potentially lethal cardiac anomaly that can be corrected in all cases using this simplified surgical technique that addresses the major anatomic and physiological problems.

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