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Ann Thorac Surg 1997;64:838-839
© 1997 The Society of Thoracic Surgeons

Case Report

Unusual Right Coronary Artery Anomaly With Major Implication During Cardiac Operations

Mario Gaudino, MD, Franco Glieca, MD, Piergiorgio Bruno, MD, Felice Luca Piancone, MD, Francesco Alessandrini, MD, Gianfederico Possati, MD

Department of Cardiac Surgery, Catholic University, Rome, Italy

Accepted for publication April 8, 1997.

We report a case in which an unrevealed high origin of the right coronary artery (almost 4 cm above the left coronary sinus) led to major complications during a routine atrial septal defect closure. We stress that, in absence of preoperative coronary angiography, coronary artery anomalies should always be considered and minimal ascending aorta manipulation and antegrade/retrograde myocardial protection should be recommended.




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