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Ann Thorac Surg 1998;66:1797-1798
© 1998 The Society of Thoracic Surgeons

Case Reports

Anomalous right coronary artery from the pulmonary artery in Taussig-Bing anomaly

Benjamin W. Eidem, MDa, Frank Cetta, MDa, Patrick T. Roughneen, FRCSa, Serafin Y. DeLeon, MDa, Elizabeth A. Fisher, MDa

a Section of Pediatric Cardiology and Department of Thoracic and Cardiovascular Surgery, Loyola University Medical Center, Maywood, Illinois, USA

Accepted for publication May 14, 1998.

Address reprint requests to Dr Eidem, Section of Pediatric Cardiology, Loyola University Medical Center, 2160 First Ave, Maywood, IL 60153
e-mail: (beidem{at}wpo.it.luc.edu)

The presence of associated anomalies in patients with double-outlet right ventricle can significantly alter surgical intervention. Preoperative delineation of these anomalies can facilitate surgical planning and improve outcome. We describe a case in which the right coronary artery and anterior descending coronary artery arose from the pulmonary artery in a patient with double-outlet right ventricle with subpulmonary ventricular septal defect (Taussig-Bing anomaly). Recognition of this important anomaly prevented significant intraoperative myocardial damage by altering techniques of cardioplegia administration for myocardial preservation.






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