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Eur J Cardiothorac Surg 2002;21:102-104
© 2002 Elsevier Science NL

Case report

Management of anomalous right coronary arteries encountered during aortic valve surgery

Department of Cardiovascular Surgery, Jichi Medical School, 3311-1 Yakushiji, Minami-kawachi, Tochigi 329-0498, Japan

Received 21 August 2001; received in revised form 9 October 2001; accepted 14 October 2001.

* Corresponding author. Tel.: +81-285-587368; fax: +81-285-446271
e-mail: tcvmisa{at}jichi.ac.jp

We experienced three cases with anomalous right coronary arteries during aortic valve surgery. By rotating a Freestyle bioprosthesis by a subcoronary technique, the anomalous artery was secured in one patient. The anomalous artery was injured during the routine aortotomy incision in another patient; a saphenous vein graft was interposed between the ascending aorta and the separated artery. In the third patient, a subannular prosthetic valve was chosen to avoid obstructing the anomalous orifice.

Key Words: Anomalous coronary artery • Freestyle valve • Aortic valve replacement • Aortic valve disease • Aorto-coronary bypass • Coronary angiogram

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