Skip to main content
SpringerLink
Log in

Coronary artery bypass grafting for an anomalous origin of the right coronary artery: is it a valid surgical procedure?

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

The right internal thoracic artery to the right coronary artery bypass with ligation of the proximal native vessel is a simple and reliable option for the treatment of an anomalous aortic origin of the right coronary artery arising from the left sinus of Valsalva without an intramural course. Coronary artery bypass grafting is an uncomplicated option for elderly patients, those with connective tissue diseases, and those for whom combined aortic valve procedures are planned. Herein, we present four cases of this anomaly that underwent right internal thoracic artery anastomosis to the distal right coronary artery along with proximal right coronary artery ligation using a surgical clip. There was no occurrence of complications such as hypoperfusion syndrome, graft occlusion, recurrent symptoms, or late cardiac events.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Brothers JA, Frommelt MA, Jaquiss RDB, Myerburg RJ, Fraser CD Jr, Tweddell JS. Expert consensus guideline: anomalous aortic origin of a coronary artery. J Thorac Cardiovasc Surg. 2017;153:1440–57.

    Article  Google Scholar 

  2. Law T, Dunne B, Stamp N, Ho KM, Andrews D. Surgical results and outcomes after reimplantation for the management of anomalous aortic origin of the right coronary artery. Ann Thorac Surg. 2016;102:192–8.

    Article  Google Scholar 

  3. Mainwaring RD, Reddy VM, Reinhartz O, Petrossian E, MacDonald M, Nasirov T, et al. Anomalous aortic origin of a coronary artery: medium-term results after surgical repair in 50 patients. Ann Thorac Surg. 2011;92:691–7.

    Article  Google Scholar 

  4. Fedoruk LM, Kern JA, Peeler BB, Kron I. Anomalous origin of the right coronary artery bypass is not the answer. J Thorac Cardiovasc Surg. 2007;133:456–60.

    Article  Google Scholar 

  5. Cameron A, Davis KB, Green G, Schaff HV. Coronary bypass surgery with internal-thoracic-artery grafts–effects on survival over a 15-year period. N Engl J Med. 1996;334:216–9.

    Article  CAS  Google Scholar 

  6. Sabik JF 3rd, Lytle BW, Blackstone EH, Khan M, Houghtaling PL, Cosgrove M. Does competitive flow reduce internal thoracic artery graft patency? Ann Thorac Surg. 2003;76:1490–7.

    Article  Google Scholar 

  7. Berger A, Mccarthy PA, Siebert U, Carlier S, Wijns W, Heyndrickx G, et al. Long-term patency of internal mammary artery bypass grafts relationship with preoperative severity of the native coronary artery stenosis. Circulation. 2004;110:Il36-40.

    Article  Google Scholar 

  8. Nakayama Y, Sakata R, Ura M. Growth potential of left internal thoracic artery grafts: analysis of angiographic findings. Ann Thorac Surg. 2001;71:142–7.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Iwate Medical University, 2-1-1 Idaidori, Yahaba-cho, Shiwa-gun, Iwate, 028-3695, Japan

    Yuki Imamura, Hajime Kin, Takuya Goto & Junichi Koizumi

Authors
  1. Yuki Imamura
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hajime Kin
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Takuya Goto
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Junichi Koizumi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yuki Imamura.

Ethics declarations

Conflicts of interest statement

All authors declare no conflicts of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Imamura, Y., Kin, H., Goto, T. et al. Coronary artery bypass grafting for an anomalous origin of the right coronary artery: is it a valid surgical procedure?. Gen Thorac Cardiovasc Surg 69, 1125–1128 (2021). https://doi.org/10.1007/s11748-021-01614-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-021-01614-4

Keywords

Search

Navigation