Right internal mammary artery for the management of anomalous right coronary artery from the left sinus of Valsalva; a case report

  • Abdullah Alshehri Prince Sultan Cardiac Center, Saudi Arabia
  • Khaled Alotaibi Prince Sultan Cardiac Center, Saudi Arabia
  • Mortadha Alawami Prince Sultan Cardiac Center, Saudi Arabia
  • Claudio Pragliola Prince Sultan Cardiac Center, Saudi Arabia
DOI: https://doi.org/10.35810/ects.v4i6.248
Keywords: Anomalous right coronary artery, Right internal mammary artery, Coronary artery anomaly

Abstract

Background: Anomalous origin of the right coronary artery from the left sinus of Valsalva (ARCA) is a rare anomaly. Surgery is recommended in symptomatic patients, while the optimal surgical approach is controversial.

Case presentation: We present a case of an ARCA in a 56-year-old male who was managed with coronary artery bypass grafting using the right internal mammary artery and ligation of the proximal right coronary artery.  The patient remained asymptomatic after 1 year of follow-up.

Conclusions: ARCA can be managed using the right internal mammary artery with ligation of the proximal right coronary artery to prevent the competitive flow.

Published
2022-11-01
How to Cite
Alshehri, A., Alotaibi, K., Alawami, M., & Pragliola, C. (2022). Right internal mammary artery for the management of anomalous right coronary artery from the left sinus of Valsalva; a case report. The Egyptian Cardiothoracic Surgeon, 4(6), 97 - 99. https://doi.org/10.35810/ects.v4i6.248
Issue
Vol 4 No 6 (2022)
Section
Adult cardiac