Anomalous aortic origin of a coronary artery: A universally applicable surgical strategy

Karl, Tom R., Provenzano, Sylvio C. J. and Nunn, Graham R. (2010) Anomalous aortic origin of a coronary artery: A universally applicable surgical strategy. Cardiology in the Young, 20 S3: 44-49. doi:10.1017/S1047951110001083

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Author Karl, Tom R.
Provenzano, Sylvio C. J.
Nunn, Graham R.
Title Anomalous aortic origin of a coronary artery: A universally applicable surgical strategy
Journal name Cardiology in the Young   Check publisher's open access policy
ISSN 1047-9511
1467-1107
Publication date 2010-12
Sub-type Article (original research)
DOI 10.1017/S1047951110001083
Volume 20
Issue S3
Start page 44
End page 49
Total pages 6
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Collection year 2011
Language eng
Abstract The most commonly reported coronary arterial malformation, in accounts of sudden deaths, is anomalous aortic origin of a coronary artery. Anomalous coronary arteries may arise from the left, right, or non-coronary sinuses of Valsalva. Importantly, although the left coronary artery from the right sinus has the worst prognosis, sudden death has been reported in all variants of origin from the various sinuses of Valsalva. This paper describes a technique that addresses all of the problems relating to anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva. This technique includes the transection of the ascending aorta and pulmonary trunk, coronary arterial enlargement with a pericardial patch, and lateral translocation of the pulmonary trunk to the left pulmonary artery. Anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva is a potentially lethal cardiac anomaly that can be corrected in all cases using this simplified surgical technique that addresses the major anatomic and physiological problems.
Keyword Congenital cardiac disease
Paediatric cardiac disease
Interarterial coronary artery
Intramural coronary artery
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ
Additional Notes Supplement title: Rare and Challenging Congenital Cardiac Lesions: an Interdisciplinary Approach

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Medicine Publications
 
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Created: Sun, 13 Feb 2011, 00:05:13 EST