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Ann Thorac Surg 1989;47:630-637
© 1989 The Society of Thoracic Surgeons

Articles

Surgical therapy in the management of coronary anomalies: Emphasis on utility of internal mammary artery grafts

Amram J. Cohen, MD, MC, USA, MAJ*,a,b, Brent A. Grishkin, MD, MC, USA, COLa,b, Robert A. Helsel, MD, MC, USA, COLa,b, Harold D. Head, MD, MC, USA, COL (RET)a,b

a Department of Surgery, Cardiothoracic Surgery Service, Brooke Army Medical Center, Fort Sam Houston, Texas, USA
b Department of Surgery, Cardiothoracic Surgery Service, Valley Children's Hospital, Fresno, California, USA

* Address reprint requests to Dr Cohen, Cardiothoracic Surgery Service, Walter Reed Army Medical Center, Washington, DC 20307-5001.


   Abstract
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 Abstract
References
 
Three patients with an aaiomaEous main coronary artery coiassing between the greai vessels ace presented with a review of the literature. Their surgical treatment by coronary artery bypass grafting with use of the ipsilateral internal mammary artery is described with angiografic follow-up. Young patients with these anomalies, whether they are asymptomatic or have syncope, are at high risk for sudden death. Older patients with angina appear to be adequately risk stratified by thallium stress tests. For patients requiring surgical intervention, aortoplasty and coronary artery bypass grafting have both resulted in relief of Symptoms, but the follow-up is limited, We suggest that coronary artery bypass grafting with an ipsilateral internal mammary artery graft to the anomalous vessel is the procedure most likely to relieve ischemia and achieve good long-term results for both symptomatic relief and survival.


   References
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 Abstract
 References
 

  1. Krause W. Lieber den ursprung einer accessorischn a coronaria cordis aus der a, pulmonalis Z Nationelle Med 1865;24:255-257.
  2. Ogden JA. Congenital anomalies of the coronary arteries Am J Cardiol 1970;25:474-479.[Medline]
  3. Roberts WC. Major anomalies of coronary arterial origin seen in adulthood Am Heart J 1986;111:942-962.
  4. Ishikawa T, Brandt PWT. Anomalous origin of the left main coronary artery from the right anterior aortic sinus: angiographic definition of anomalous course Am J Cardiol 1985;55:770-776.[Medline]
  5. Jokl E, McClellan JT, Ross GS. Congenital anomaly of the left coronary artery in young athlete JAMA 1962;182:572-573.
  6. Cheitlin MD, DeCastro CM, McAllister HA. Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva Circulation 1974;50:780-787.[Abstract/Free Full Text]
  7. Davia JE, Green DC, Cheitlin, MD, DeCastro C, Brott WH. Anomalous left coronary artery origin from the right coronary sinus Am Heart J 1984;108:165-166.[Medline]
  8. Bloomfield P, Erhlich C, Folland ED, Bianco JA, Tow DE, Parisi AF. Anomalous right coronary artery: a surgically correctable cause of angina pectoris Am J Cardiol 1983;51:1235-1237.[Medline]
  9. Barth CW, Roberts WC. Left main coronary artery originating from the right sinus of Valsalva and coursing between the aorta and pulmonary trunk J Am Coll Cardiol 1986;7:366-373.[Medline]
  10. Sanes S. Anomalous origin and course of the left coronary artery in a child Am Heart J 1937;14:219-229.
  11. Nicod JL. Anomalie coronaire et mort subite Cardiologia 1952;20:172-179.[Medline]
  12. Alexander RW, Griffith GC. Anomalies of the coronary arteries and their clinical significance Circulation 1956;14:800-805.[Abstract/Free Full Text]
  13. Mahowald JM, Blieden LC, Coe JI, Edwards JE. Ectopic origin of a coronary artery from the aorta Chest 1986;89:668-672.[Medline]
  14. Phillips M, Robinowitz M, Higgins JR, Boran KJ, Reed T, Virmani R. Sudden cardiac death in Air Force recruits: a 20 year review JAMA 1986;256:2696-2699.[Medline]
  15. Benson PA. Anomalous aortic origin of coronary artery with sudden death: case report and review Am Heart J 1970;79:254-257.[Medline]
  16. Isner JM, Shen M, Martin ET, Fortin RV. Sudden unexpected death as a result of anomalous origin of the right coronary artery from the left sinus of Valsalva Am J Med 1984;76:155-158.[Medline]
  17. Liberthson RR, Gang DL, Custer J. Sudden death in an infant with aberrant origin of the right coronary artery from the left sinus of Valsalva of the aortic: case report and review of the literature Pediatr Cardiol 1983;4:45-48.[Medline]
  18. Hanzlich RL, Stivers RR. Sudden death due to anomalous right coronary artery in a 26 year old marathon runner Am J Forensic Med Pathol 1983;4:265-268.[Medline]
  19. Roberts WC, Siegel RJ, Zipes DP. Origin of the right coronary artery from the left sinus of Valsalva and its functional consequences: analysis of ten necropsy patients Am J Cardiol 1982;49:863-868.[Medline]
  20. Kimbiris O. Anomalous origin of the left main coronary artery from the right sinus of Valsalva Am J Cardiol 1985;55:765-769.[Medline]
  21. Donaldson RM, Raphael M, Radley-Smith R, Yacoub MH, Ross DN. Angiographic identification of primary coronary anomalies causing unpaired myocardial perfusion Cathet Cardiovasc Diagn 1983;9:237-249.[Medline]
  22. Grey DP, Koster Jr JK, Farrell PW, Schrank JP. Surgical correction of anomalous left coronary artery from the anterior sinus of Valsalva Tex Heart Inst J 1984;11(2):182-186.[Medline]
  23. Iskandrian AS, Hakki AH, Bemis CE. Myocardial ischemia in a patient with anomalous origin of the left main coronary artery Cathet Cardiovasc Diagn 1986;12:48-50.[Medline]
  24. Liberthson RR, Dinsmore RE, Fallon JT. Aberrant coronary artery origin from the aorta: report of 18 patients, review of the literature and delineation of natural history and management Circulation 1979;59:748-754.[Abstract/Free Full Text]
  25. Moodie DS, Gill C, Loop FD, Sheldon WC. Anomalous left main coronary artery originating from the right sinus of Valsalva. Pathophysiology, angiographic definitions and surgical approaches J Thorac Cardiovasc Surg 1980;80:198-205.[Medline]
  26. Mustafa I, Gula G, Radley-Smith R, Durrer S, Yacoub M. Anomalous origin of the left coronary artery from the anterior sinus: a potential cause for sudden death J Thorac Cardiovasc Surg 1981;82:297-300.[Medline]
  27. Sachs JH, Londe SP, Rosenbluth A, Zalis EG. Left main coronary bypass for aberrant (aortic) intramural left coronary artery J Thorac Cardiovasc Surg 1977;73:733-737.[Abstract]
  28. Murphy DA, Roy DL, Sohal M, Chandler BM. Anomalous origin of left main coronary artery from anterior sinus of Valsalva with myocardial infarction J Thorac Cardiovasc Surg 1978;75:282-285.[Abstract]
  29. Chaitman BR, Lesperance J, Saltiel J, Bourassa MG. Clinical, angiographic, and hemodynamic findings in patients with anomalous origin of the coronary arteries Circulation 1976;53:122-131.[Abstract/Free Full Text]
  30. Kimbiris D, Iskandrian AS, Segal BL, Bemis CE. Anomalous aortic origin of coronary arteries Circulation 1978;58:606-615.[Free Full Text]
  31. Berdoff R, Haimowitz A, Kupersmith J. Anomalous origin of the right coronary artery from the left sinus of Valsalva Am J Cardiol 1986;58:656-657.[Medline]
  32. Thompson SI, Vieweg WVR, Alpert JS, Hagan AD. Anomalous origin of the right coronary artery from the left sinus of Valsalva with associated chest pain: report of two cases Cathet Cardiovasc Dtagn 1976;2:397-402.
  33. Benge W, Martins JB, Funk DC. Morbidity associated with anomalous origin of the right coronary artery from the left sinus of Valsalva Am Heart J 1980;99:96-100.[Medline]
  34. Brandt III B, Martins JB, Marcus ML. Anomalous origin of the right coronary artery from the left sinus of Valsalva N Engl J Med 1983;10:596-598.
  35. Bett JHN, O'Brien MF, Murray PJS. Surgery for anomalous origin of the right coronary artery Br Heart J 1985;53:459-461.[Abstract/Free Full Text]
  36. Keren A, Tzivoni D, Granot C, Yalon S, Stern S. Origin of both coronary arteries from the same sinus of Valsalva: report of two cases Cathet Cardiovasc Diagn 1982;8:191-199.[Medline]
  37. Pedal I. Aortale ursprungsanomalie einer koronararieie Dtsch Med Wochenschr 1976;101:1601-1604.[Medline]
  38. Virmani R, Chun PKC, Goldstein RE, Robinowitz M, McAllister HA. Acute takeoffs of the coronary arteries along the aortic wall and congenital coronary ostial valve-like ridges: association with sudden death J Am Coll Cardiol 1984;3:766-771.[Medline]
  39. Cosgrove DM, Loop FD, Saunders CL, Lytle BW, Kramer JR. Should coronary arteries with less than fifty percent stenosis be bypassed? J Thorac Cardiovasc Surg 1981;82:520-530.[Medline]
  40. Cashin WL, Sanmarco ME, Nessim SA, Blankenhourn DH. Accelerated progression of atherosclerosis in coronary vessels with minimal lesions that are bypassed N Engl J Med 1984;311:824-828.[Medline]
  41. El-Said CM, Ruzyllo W, Williams RL, et al. Early and late results of saphenous vein grafts for anomalous origin of left coronary artery from pulmonary artery Circulation 1973;48(Suppl 3):2-6.
  42. Laborde F, Marchand M, Leca F, Jarreau MM, Dequirot A, Hazan E. Surgical treatment of anomalous origin of the left coronary artery in infancy and childhood: early and late results in 20 consecutive cases J Thorac Cardiovasc Surg 1981;82:423-428.[Abstract]



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