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Ann Thorac Surg 2003;76:1287-1289
© 2003 The Society of Thoracic Surgeons

Case report

Reimplantation of anomalous right coronary artery arising from the pulmonary trunk leading to normal coronary flow reserve late after surgery

Josef Veselka, MD, PhDa*, Petr Widimský, MD, DScb, Josef Kautzner, MD, PhDc

a Division of Cardiac Surgery, Cardiology Section, University Hospital Motol, Prague, Czech Republic
b Department of Cardiology, Cardiac Center, University Hospital Královské Vinohrady, Prague, Czech Republic
c Department of Cardiology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic

Accepted for publication March 17, 2003.

* Address reprint requests to Dr Veselka, Division of Cardiac Surgery, Cardiology Section, University Hospital Motol, V úvalu 84, Prague 5, 150 00, Czech Republic
e-mail: veselka.josef{at}seznam.cz

We report a case of successful reimplantation of the right coronary artery from the pulmonary trunk into the aorta with a 10-year follow-up. The finding of a normal coronary flow reserve late after surgery suggests that direct reimplantation of the right coronary artery into the aorta is the preferable surgical technique.




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