HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Bruno J. Messmer Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Radke, P. W. Articles by Klues, H. G. Search for Related Content PubMed PubMed Citation Articles by Radke, P. W. Articles by Klues, H. G.

Ann Thorac Surg 1998;66:1444-1449
© 1998 The Society of Thoracic Surgeons

---

Current Review

Anomalous origin of the right coronary artery: preoperative and postoperative hemodynamics

^a Medical Clinic I, RWTH University Hospital, Aachen, Germany
^b Department of Cardiothoracic Surgery, RWTH University Hospital, Aachen, Germany

Address reprint requests to Dr Klues, Medical Clinic I, RWTH University Hospital, Pauwelsstraße 30, D-52057 Aachen, Germany
e-mail: (hklu{at}pcserver.mk1.rwth-aachen.de)

Anomalous origin of the right coronary artery from the main pulmonary artery is a rare congenital cardiac malformation. Most patients remain asymptomatic. However, there are cases of sudden cardiac death described in the literature, indicating a potentially malign course of the disease. To establish a double-ostium coronary system, correction of the aberrant vessel is recommended. Despite surgical reconstitution of normal coronary anatomy, the postoperative clinical presentation of some patients does not improve substantially, raising the question of the functional outcome of reinserted coronary vessels. This report of a patient with anomalous origin of the right coronary artery from the pulmonary trunk, in whom a complete hemodynamic assessment including intracoronary Doppler flow measurements was performed before and after reimplantation, very strongly supports the concept of an anatomically corrective operation.

This article has been cited by other articles:

				H.-W. Guo, J.-P. Xu, Y.-H. Song, H.-S. Sun, X.-D. Shen, and S.-S. Hu Repair of Anomalous Origin of Right Coronary Artery from the Pulmonary Artery Asian Cardiovasc Thorac Ann, October 1, 2007; 15(5): 418 - 421. [Abstract] [Full Text] [PDF]

				G. B. Luciani, F. Vendrametto, L. Barozzi, R. Oberhollenzer, W. Pitscheider, and A. Mazzucco Repair of anomalous right and circumflex coronary arteries arising from the pulmonary artery J. Thorac. Cardiovasc. Surg., October 1, 2006; 132(4): 970 - 972. [Full Text] [PDF]

				J. Cleuziou, F. Haas, C. Schreiber, H.-J. Mossinger, and R. Lange Hypoplastic Left Heart Syndrome With Anomalous Origin of the Right Coronary Artery Ann. Thorac. Surg., January 1, 2006; 81(1): 341 - 343. [Abstract] [Full Text] [PDF]

				G. Rigatelli, G. Docali, P. Rossi, A. Bandello, and G. Rigatelli Validation of a Clinical-Significance-Based Classification of Coronary Artery Anomalies Angiology, January 1, 2005; 56(1): 25 - 34. [Abstract] [PDF]

				T. Bossert, T. Walther, N. Doll, J. F. Gummert, M. Kostelka, and F. W. Mohr Anomalous Origin of the Right Coronary Artery From the Pulmonary Artery Combined With Aortic Valve Stenosis Ann. Thorac. Surg., January 1, 2005; 79(1): 347 - 348. [Abstract] [Full Text] [PDF]

				M. A. Maluf, M. R. Smith, and M. Rati Anomalous origin of the right coronary artery from the pulmonary artery Ann. Thorac. Surg., July 1, 1999; 68(1): 292 - 293. [Full Text] [PDF]

				P. W. Radke and B. J. Messmer Reply Ann. Thorac. Surg., July 1, 1999; 68(1): 293 - 293. [Full Text] [PDF]