Surgical management of congenital coronary arterial anomalies in adults

Abstract

Congenital anomalies of the coronary arteries are an uncommon, but important, cause of pain in the chest, myocardial ischaemia and even sudden cardiac death, especially in young individuals. This paper focuses on the surgical treatment of congenital anomalies of the coronary arteries in adults; indications for surgery and the different surgical options will be reviewed.Keywords: Congenital heart disease; paediatric cardiac disease; anomalous aortic origin of the coronary artery; anomalous origin of the coronary artery from the pulmonary artery; coronary arterial fistula III. Classifications (Table 1) We used a modified version of the classification system developed by Greenberg et al 2

Pulmonary Root Mobilization and Modified Lecompte Maneuver for Transseptal Course of the Left Main Coronary Artery

“…If the LMCA arises from the right sinus of Valsalva, it may take several courses prior to its bifurcation. 3 A rare form is the "transseptal" or "intraconal" course, where it travels in the upper part of the IVS. This usually runs at the base of the pulmonary root, quite below the PV ( Figure 5A-C).…”

Anomalous origin of the right coronary artery evaluated with multidetector computed tomography and its clinical relevance

“…We found that all cases had a slit-like orifice, acute-angled take-off, and long intramural course of the RCA. On the basis of several autopsy studies [4,5,[22][23][24], mortality rates have been reported to be between 0% and 50% with AORCA. The only generally accepted risk factor for SCD is age younger than 30 years at presentation [1,6].…”

Late Posttraumatic Tricuspid Valve Insufficiency Repaired By Artificial Cordae

“…Functional TI is more amenable for repair to preserve the right ventricular function.Right atrial dilatation over 8 cm and right ventricular dilatation over 5,5 cm is a challenging situation. However, tricuspit valve repair is superior with lower mortality and freedom from reoperation rates [11,12]. Precise measurement of artificial cordae length and adequate plication of the leaflet without reducing the valve area and increasing the coaptation zone were the key pitfalls in this successful repair.…”