Unusual right coronary artery anomaly with major implication during cardiac operations.

Gaudino, M; Glieca, F; Bruno, P; Piancone, F L; Alessandrini, F; Possati, G · Ann Thorac Surg · 1997

case_report · Level V

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Abstract

We report a case in which an unrevealed high origin of the right coronary artery (almost 4 cm above the left coronary sinus) led to major complications during a routine atrial septal defect closure. We stress that, in absence of preoperative coronary angiography, coronary artery anomalies should always be considered and minimal ascending aorta manipulation and antegrade/ retrograde myocardial protection should be recommended.

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