Surgical Treatment of Congenital Coronary Artery Anomalies

Ten (0.28%) patients with anomalous origin of a coronary artery were detected from inspection of 3500 selected coronary arteriograms. In 1 patient the left main coronary artery (LMCA) originated from the pulmonary artery (PA). In 1 patient situs inversus totalis was present. This patient had a single coronary artery originating from the right coronary sinus. In 2 patients atrial septal defect (ASD) and aortic stenosis (AS) were additionally present. In 2 patients having an anomalously originated coronary artery, additional atherosclerotic coronary artery disease was present. In 4 patients coronary artery bypass grafting (CABG) operations were per formed. In 2 other patients ASD closure and aortic valve replacement (AVR) were performed. One patient with anomalous LMCA originating from the right coro nary sinus refused operation. There was no mortality or morbidity. All of the patients are symptom free and are having an active life.

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