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Ann Thorac Surg 2001;71:357-358
© 2001 The Society of Thoracic Surgeons

Case report

Anomalous right coronary artery originating from the left main coronary artery

Steven R. Lopushinskya, John C. Mullen, MDa, Michael J. Bentley, BSca

a Division of Cardiothoracic Surgery, The University of Alberta, Edmonton, Alberta, Canada

Accepted for publication March 23, 2000.

Address reprint requests to Dr Mullen, Departments of Surgery and Pediatrics, The University of Alberta Hospital, 2D2.18 WC Mackenzie Health Sciences Centre, 8440-112 St, Edmonton, AB, T6G 2B7 Canada
e-mail: jmullen{at}ualberta.ca

A 54-year-old man with no cardiac history presented with exertional angina. Cardiac catheterization revealed an anomalous right coronary artery originating from the left main coronary artery with external compression during its course between the aorta and the pulmonary artery. He was successfully managed with surgical reimplantation of the right coronary artery into the aorta.






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