Ross procedure for congenital aortic insufficiency and an associated right intramural coronary artery

  • Shin Takabayashi
  • Hideto Shimpo
  • Yoichiro Miyake
Case Report


A 7-year-old boy diagnosed with aortic insufficiency was treated with a Ross procedure and he had an associated right intramural coronary artery. Although preoperative angiocardiography showed that the right and left coronary artery orifices were close together, a right intramural coronary artery could not be diagnosed by transthoracic echocardiography. Intraoperative findings showed that the right coronary artery was intramural for a distance of 7 mm. As a result, a longer single coronary button was harvested and transplanted to the pulmonary autograft. The postoperative course was uneventful; coronary ischemia did not occur and aortic valve function was preserved.

Key words

Ross procedure intramural coronary artery single coronary button aortic insufficiency 


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Copyright information

© Japanese Association for Thoracic Surgery 2005

Authors and Affiliations

  • Shin Takabayashi
    • 1
  • Hideto Shimpo
    • 1
  • Yoichiro Miyake
    • 1
  1. 1.Department of Thoracic and Cardiovascular SurgeryMie University School of MedicineMieJapan

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