Revascularização do miocárdio em origem anômala da artéria coronária direita: relato de caso

Abstract

A 21-year-old man with angina-like chest pain and syncope related to ischemic ECG changes due to an anomalous origin of the right coronary artery. The patient was submitted to surgical correction with myocardial revascularization with internal thoracic artery. A literature review of this rare congenital heart disease is presented.

Association of aortic coarctation and malignant right coronary artery anomaly: an unusual cause of angina pectoris

“…Conventional revascularization, ostium reimplantation on the aortic root, excision of the common wall between the aorta and the anomalous vessel, and the creation of a new ostium at the end of the intramural segment of the vessel are all plausible alternatives. Martins et al describe a patient with an anomalous origin of the right coronary who underwent myocardial revascularization with right internal thoracic artery grafting to the proximal right coronary artery segment and proximal ligation of the right coronary artery, with a good postoperative outcome 10. Repair surgery can be obtained by right coronary artery reimplantation, or by using a graft for this coronary 12.…”