Grafting an anomalous coronary artery: a left anterior descending from the right coronary artery grafted with the right internal thoracic artery

Elbert E Williams; Andrea Amabile; Gianluca Torregrossa; John D Puskas

doi:10.1111/jocs.14445

Grafting an anomalous coronary artery: a left anterior descending from the right coronary artery grafted with the right internal thoracic artery

J Card Surg. 2020 Mar;35(3):729-731. doi: 10.1111/jocs.14445. Epub 2020 Feb 4.

Authors

Elbert E Williams¹, Andrea Amabile¹, Gianluca Torregrossa^{1

2}, John D Puskas¹

Affiliations

¹ Department of Cardiovascular Surgery, Mount Sinai St. Luke's, New York, New York.
² Division of Minimally Invasive and Robotic Cardiac Surgery, Department of Surgery, University of Chicago, Chicago, Illinois.

PMID: 32017226
DOI: 10.1111/jocs.14445

Abstract

A left anterior descending artery (LAD) arising from the right coronary artery (RCA) or right sinus of Valsalva is an exceedingly rare anomalous variant occurring in 0.03% of the population. We here present the case of an 81-year-old male with severe triple vessel coronary artery disease who was found to have an aberrant LAD arising from the proximal RCA, and was successfully treated with off-pump, total arterial, and complete surgical revascularization.

Keywords: cardiovascular pathology; congenital heart disease; coronary artery disease.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Coronary Artery Bypass, Off-Pump / methods*
Coronary Artery Disease / etiology*
Coronary Artery Disease / surgery*
Coronary Vessel Anomalies / surgery*
Humans
Male
Treatment Outcome