Surgical implications of anomalous right coronary artery from left sinus of valsalva

Jai Bhagwan; Anubhav Gupta; Sankalp .; Sudesh Kumar; Vijay Kumar Gupta

doi:10.18203/2349-2902.isj20182001

Authors

Jai Bhagwan Department of Cardio-thoracic and Vascular Surgery, PGIMER and Dr. RML Hospital, New Delhi, India
Anubhav Gupta Department of Cardio-thoracic and Vascular Surgery, PGIMER and Dr. RML Hospital, New Delhi, India
Sankalp . Department of Cardio-thoracic and Vascular Surgery, PGIMER and Dr. RML Hospital, New Delhi, India
Sudesh Kumar Department of Cardio-thoracic and Vascular Surgery, PGIMER and Dr. RML Hospital, New Delhi, India
Vijay Kumar Gupta Department of Cardio-thoracic and Vascular Surgery, PGIMER and Dr. RML Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20182001

Keywords:

Anomalous RCA, Anomalous coronaries, Double valve replacement

Abstract

Anomalous origin of right coronary artery (RCA) from left coronary sinus (LCS) can pose difficult challenge in patients undergoing cardiac surgery. Authors present a 31 years old male patient diagnosed with Rheumatic heart disease, severe mitral stenosis with moderate aortic regurgitation. Patient underwent Double valve replacement and anomalous RCA was diagnosed intraoperatively. Authors recommend that origins of coronary arteries must be echocardiographically evaluated in all patients undergoing valve surgery, especially when coronary angiography is not indicated/planned.

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