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Ann Thorac Surg 2008;85:2135-2136. doi:10.1016/j.athoracsur.2007.07.006
© 2008 The Society of Thoracic Surgeons
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Houman Tavaf-Motamen
Philip C. Corcoran
Robert W. Stewart
Charles R. Mulligan
William C. DeVries
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Right arrow Congenital - acyanotic

Case Reports

Repair of Anomalous Origin of Right Coronary Artery From the Left Sinus of Valsalva

Houman Tavaf-Motamen, MD*, Sean P. Bannister, PA-C, Philip C. Corcoran, MD, Robert W. Stewart, MD, Charles R. Mulligan, MD, William C. DeVries, MD

Division of Cardiothoracic Surgery, Walter Reed Army Medical Center, Washington, DC

Accepted for publication July 5, 2007.

* Address correspondence to Dr Tavaf-Motamen, Walter Reed Army Medical Center, Cardiothoracic Surgery Division, 6900 Georgia Ave, Washington, DC 20303 (Email: houman.tavaf-motamen{at}na.amedd.army.mil).

Anomalous origin of the right coronary artery from the left sinus of Valsalva is a rare congenital anomaly but a relatively frequent cause of sudden death in the young. The medical records of 4 consecutive patients with this anomaly were retrospectively reviewed. The first 2 patients underwent coronary artery bypass and had early graft failure. The next 2 patients underwent coronary reimplantation and unroofing and have done well. This limited series suggests that bypass procedures used to treat anomalous origin of the right coronary artery from the left sinus of Valsalva are prone to early graft failure.




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J. E. Davies, H. M. Burkhart, J. A. Dearani, R. M. Suri, S. D. Phillips, C. A. Warnes, T. M. Sundt III, and H. V. Schaff
Surgical management of anomalous aortic origin of a coronary artery.
Ann. Thorac. Surg., September 1, 2009; 88(3): 844 - 847.
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