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Ann Thorac Surg 1981;32:80-84
© 1981 The Society of Thoracic Surgeons

Articles

Single Right Coronary Artery: Clinical and Angiographic Findings with Surgical Management

George Kafrouni, M.D.*, A. Hafeez Khan, M.D., James L. Wolf sen, M.D.

From the Department of Thoracic and Cardiovascular Surgery, Coronary Care Unit, and Department of Radiology, White Memorial Medical Center and Loma Linda University School of Medicine, Loma Linda, CA

Accepted for publication July 14, 1980.

* Address reprint requests to Dr. Kafrouni, 1710 Brooklyn Ave, Suite 225, Los Angeles, CA 90033

Sudden death, myocardial infarction, and anginal syndrome have occurred in patients with single right coronary artery even in the absence of occlusive arteriosclerotic disease. We are reporting the case of a patient with this anomaly without concomitant arteriosclerotic involvement who was managed surgically. A 46-year-old woman was seen with disabling angina of 8 months' duration. Coronary arteriography established the diagnosis of a single right coronary artery. An aorta-anterior descending saphenous vein bypass graft was performed, and the patient remains asymptomatic 29 months postoperatively. Single right coronary artery is a rare anomaly, and its recognition as a potentially dangerous lesion is essential for the prompt and proper care of patients.






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Copyright © 1981 by The Society of Thoracic Surgeons.