Setting things “right”: right internal mammary artery on anomalous right coronary artery - a case report

Anomalous aortic origin of a coronary artery (AAOCA) is a rare pathology that may cause episodic ischemia owing to possible vessel compression during systolic expansion of the aortic root. This anomaly can lead to myocardial infarction, malignant arrhythmias and sudden cardiac death (SCD). Several s...

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Autores principales:	M D’Abramo, S Saltarocchi, W Saade, E Chourda, P De Orchi, F Miraldi
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/2617d62f134b47d6ae9a22bdead52e2a
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spelling	oai:doaj.org-article:2617d62f134b47d6ae9a22bdead52e2a2021-11-06T00:03:34ZSetting things “right”: right internal mammary artery on anomalous right coronary artery - a case report1473-230010.1177/03000605211054438https://doaj.org/article/2617d62f134b47d6ae9a22bdead52e2a2021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211054438https://doaj.org/toc/1473-2300Anomalous aortic origin of a coronary artery (AAOCA) is a rare pathology that may cause episodic ischemia owing to possible vessel compression during systolic expansion of the aortic root. This anomaly can lead to myocardial infarction, malignant arrhythmias and sudden cardiac death (SCD). Several surgical techniques have been described; however, there are no defined guidelines regarding the treatment of AAOCA. We report the case of a 47-year-old woman with ectopic origin of the right coronary artery (RCA) from the left sinus of Valsalva, with an interarterial course of the proximal segment of the artery, running between the aorta and the pulmonary trunk. Revascularization was accomplished by harvesting the right internal mammary artery (RIMA) and anastomosing it to the anomalous RCA, given the small portion of the RCA following an intramural course and our familiarity with the procedure. The RCA was ligated proximal to the anastomosis to avoid the string sign phenomenon. This procedure is safe and fast and can be considered an alternative to coronary reconstruction.M D’AbramoS SaltarocchiW SaadeE ChourdaP De OrchiF MiraldiSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 M D’Abramo S Saltarocchi W Saade E Chourda P De Orchi F Miraldi Setting things “right”: right internal mammary artery on anomalous right coronary artery - a case report
description	Anomalous aortic origin of a coronary artery (AAOCA) is a rare pathology that may cause episodic ischemia owing to possible vessel compression during systolic expansion of the aortic root. This anomaly can lead to myocardial infarction, malignant arrhythmias and sudden cardiac death (SCD). Several surgical techniques have been described; however, there are no defined guidelines regarding the treatment of AAOCA. We report the case of a 47-year-old woman with ectopic origin of the right coronary artery (RCA) from the left sinus of Valsalva, with an interarterial course of the proximal segment of the artery, running between the aorta and the pulmonary trunk. Revascularization was accomplished by harvesting the right internal mammary artery (RIMA) and anastomosing it to the anomalous RCA, given the small portion of the RCA following an intramural course and our familiarity with the procedure. The RCA was ligated proximal to the anastomosis to avoid the string sign phenomenon. This procedure is safe and fast and can be considered an alternative to coronary reconstruction.
format	article
author	M D’Abramo S Saltarocchi W Saade E Chourda P De Orchi F Miraldi
author_facet	M D’Abramo S Saltarocchi W Saade E Chourda P De Orchi F Miraldi
author_sort	M D’Abramo
title	Setting things “right”: right internal mammary artery on anomalous right coronary artery - a case report
title_short	Setting things “right”: right internal mammary artery on anomalous right coronary artery - a case report
title_full	Setting things “right”: right internal mammary artery on anomalous right coronary artery - a case report
title_fullStr	Setting things “right”: right internal mammary artery on anomalous right coronary artery - a case report
title_full_unstemmed	Setting things “right”: right internal mammary artery on anomalous right coronary artery - a case report
title_sort	setting things “right”: right internal mammary artery on anomalous right coronary artery - a case report
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/2617d62f134b47d6ae9a22bdead52e2a
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Setting things “right”: right internal mammary artery on anomalous right coronary artery - a case report

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