TY - JOUR
T1 - Anomalous Coronary Artery From the Wrong Sinus of Valsalva
T2 - A Physiologic Repair Strategy
AU - Alphonso, Nelson
AU - Anagnostopoulos, Petros V.
AU - Nölke, Lars
AU - Moon-Grady, Anita
AU - Azakie, Anthony
AU - Raff, Gary W.
AU - Karl, Tom R.
PY - 2007/4
Y1 - 2007/4
N2 - Background: A coronary artery arising from the wrong aortic sinus, with or without a proximal course between the aorta and the pulmonary artery, may predispose to myocardial ischemia, myocardial infarction, or sudden death. Methods: We repaired this lesion in 5 symptomatic patients, all of whom had experienced exercise-related chest pain, dyspnea, or syncopal episodes. All patients underwent patch angioplasty of the proximal anomalous coronary artery with glutaraldehyde-treated autologous pericardium. When the coronary artery coursed between the aorta and the main pulmonary artery, the main pulmonary artery was translocated toward the left pulmonary artery to create additional space and prevent compression. Results: All patients recovered well and to date have demonstrated no evidence of recurrent myocardial ischemia. Conclusions: The combination of coronary artery angioplasty and translocation of the pulmonary artery seems to effectively address all the mechanisms that can generate ischemia.
AB - Background: A coronary artery arising from the wrong aortic sinus, with or without a proximal course between the aorta and the pulmonary artery, may predispose to myocardial ischemia, myocardial infarction, or sudden death. Methods: We repaired this lesion in 5 symptomatic patients, all of whom had experienced exercise-related chest pain, dyspnea, or syncopal episodes. All patients underwent patch angioplasty of the proximal anomalous coronary artery with glutaraldehyde-treated autologous pericardium. When the coronary artery coursed between the aorta and the main pulmonary artery, the main pulmonary artery was translocated toward the left pulmonary artery to create additional space and prevent compression. Results: All patients recovered well and to date have demonstrated no evidence of recurrent myocardial ischemia. Conclusions: The combination of coronary artery angioplasty and translocation of the pulmonary artery seems to effectively address all the mechanisms that can generate ischemia.
UR - http://www.scopus.com/inward/record.url?scp=33947322409&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33947322409&partnerID=8YFLogxK
U2 - 10.1016/j.athoracsur.2006.10.071
DO - 10.1016/j.athoracsur.2006.10.071
M3 - Article
C2 - 17383360
AN - SCOPUS:33947322409
SN - 0003-4975
VL - 83
SP - 1472
EP - 1476
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 4
ER -