The Journal of Thoracic and Cardiovascular Surgery
Volume 134, Issue 5 , Pages 1171-1178.e5 , November 2007

Surgical management of coronary artery arising from the wrong coronary sinus, using standard and novel approaches

  • Rajeev Gulati, MD

      Affiliations

    • Department of Pediatric Cardiac Surgery, Stanford University Medical Center, Stanford, Calif
    • Corresponding Author InformationAddress for reprints: Rajeev Gulati, MD, Pomona Valley Hospital, 160 East Artesia Street, Suite 355, Pomona, CA 91767.
  • ,
  • Vadiyala Mohan Reddy, MD

      Affiliations

    • Department of Pediatric Cardiac Surgery, Stanford University Medical Center, Stanford, Calif
  • ,
  • Casey Culbertson, MD

      Affiliations

    • Department of Pediatric Cardiology, Children’s Hospital Oakland, Oakland, Calif
  • ,
  • Gregory Helton, MD

      Affiliations

    • Department of Pediatric Cardiology, Children’s Hospital Oakland, Oakland, Calif
  • ,
  • Sam Suleman, MD

      Affiliations

    • Department of Pediatric Cardiac Surgery, Stanford University Medical Center, Stanford, Calif
  • ,
  • Olaf Reinhartz, MD

      Affiliations

    • Department of Pediatric Cardiac Surgery, Stanford University Medical Center, Stanford, Calif
  • ,
  • Norman Silverman, MD

      Affiliations

    • Department of Pediatric Cardiology, Stanford University Medical Center, Stanford, Calif.
  • ,
  • Frank L. Hanley, MD

      Affiliations

    • Department of Pediatric Cardiac Surgery, Stanford University Medical Center, Stanford, Calif

Received 22 June 2006 ,Revised 29 January 2007 ,Accepted 14 February 2007.

References 

  1. Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol. 1992;20:640–647
  2. Maron BJ, Shirani J, Poliac LC, Mathenge R, Roberts WC, Mueller FO. Sudden death in young, competitive athletes: clinical, demographic, and pathological profiles. JAMA. 1996;267:199–204
  3. Corrado D, Thiene G, Nava A, Rossi L, Pennelli N. Sudden death in young competitive athletes: clinicopathologic correlations in 22 cases. Am J Med. 1990;89:588–596
  4. Zepilli P, dello Russo A, Santini C, Palmieri V, Natale L, Giordano A, et al. In vivo detection of coronary artery anomalies in asymptomatic athletes by echocardiographic screening. Chest. 1998;114:89–93
  5. Eckart RE, Scoville SL, Campbell CL, Shry EA, Stajduhar KC, Potter RN, et al. Sudden death in young adults: a 25-year review of autopsies in military recruits. Ann Intern Med. 2004;141:829–834
  6. Ness MJ, McManus BM. Anomalous right coronary artery origin in otherwise unexplained infant death. Arch Pathol Lab Med. 1988;112:626–629
  7. Felmeden D, Singh SP, Lip GY. Anomalous coronary arteries of aortic origin. Int J Clin Pract. 2000;54:390–394
  8. Davis JA, Cecchin F, Jones TK, Portman MA. Major coronary artery anomalies in a pediatric population: incidence and clinical importance. J Am Coll Cardiol. 2001;37:593–597
  9. Frescura C, Basso C, Gaetano T, Corrado D, Pennelli T, Angelini A, et al. Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Hum Pathol. 1998;29:689–695
  10. Moodie DS, Gill C, Loop FD, Sheldon WC. Anomalous left main coronary artery originating from the right sinus of Valsalva: pathophysiology, angiographic definition, and surgical approaches. J Thorac Cardiovasc Surg. 1980;80:198–205
  11. Taylor AJ, Byers JP, Cheitlin MD, Virmani R. Anomalous right or left coronary artery from the contralateral coronary sinus: “high-risk” abnormalities in the initial coronary artery course and heterogenous clinical outcomes. Am Heart J. 1997;133:428–435
  12. Duke C, Rosenthal E, Simpson JM. Myocardial infarction in infancy caused by compression of an anomalous left coronary artery arising from the right coronary artery. Cardiol Young. 2004;14:654–657
  13. De Luca L, Bovenzi F, Signore N, D’Agostino C, de Luca I. Primary angioplasty of an anomalous right coronary artery complicated by an acute thrombotic occlusion. Ital Heart J. 2004;5:785–788
  14. Mustafa I, Gula G, Radley-Smith R, Durrer S, Yacoub M. Anomalous origin of the left coronary artery from the anterior aortic sinus: a potential cause of sudden death (Anatomic characterization and surgical treatment). J Thorac Cardiovasc Surg. 1981;82:297–300
  15. Kaza AK, Tribble CG, Crosby IK. Repair of an anomalous left coronary artery. Cardiovasc Surg. 2002;10:276–278
  16. Cooley DA. Repair of coronary anomalies. In: Techniques in cardiac surgery. Philadelphia: WB Saunders; 1984;p. 264-1
  17. Beique F, Tran QH, Ma F, Rudski L, Daves S, Angelini P. Anomalous right coronary artery originating from the left sinus of valsalva. J Cardiothorac Vasc Anaesth. 2004;18:788–798
  18. Pelliccia A. Congenital coronary artery anomalies in young patients. J Am Coll Cardiol. 2001;37:598–600
  19. Rodefeld MD, Culbertson CB, Rosenfeld HM, Hanley FL, Thompson LD. Pulmonary artery translocation: a surgical option for complex anomalous coronary artery anatomy. Ann Thorac Surg. 2001;72:2150–2152
  20. Karamichalis JM, Vricella LA, Murphy DJ, Reitz BA. Simplified technique for correction of anomalous origin of left coronary artery from the anterior aortic sinus. Ann Thorac Surg. 2003;76:266–267
  21. Romp RL, Herlong JR, Landolfo CK, Sanders SP, Miller CE, Ungerleider RM, et al. Outcome of unroofing procedure for repair of anomalous aortic origin of left or right coronary artery. Ann Thorac Surg. 2003;76:589–595discussion 595-6
  22. Roberts WC, Siegel RJ, Zipes DP. Origin of the right coronary artery from the left sinus of Valsalva and its functional consequences: analysis of 10 necropsy patients. Am J Cardiol. 1982;49:863–868
  23. Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol. 2000;35:1493–1501
  24. Liberman L, Pass RH, Kaufman S, Hordof AJ, Printz BF, Prakash A. Left coronary artery arising from the non-coronary sinus: a rare congenital coronary anomaly. Pediatr Cardiol. 2005;26:672–674
  25. Bunce NH, Rahman SL, Keegan J, Gatehouse PD, Lorenz CH, Pennell DJ. Anomalous coronary arteries: anatomic and functional assessment by coronary and perfusion cardiovascular magnetic resonance in three sisters. J Cardiovasc Magn Reson. 2001;3:361–369
  26. Ghersin E, Litmanovich D, Ofer A, Lessick J, Dragu R, Rispler S, et al. Anomalous origin of right coronary artery: diagnosis and hemodynamic evaluation with multidectector computed tomography. J Comput Assist Tomogr. 2004;28:293–294
  27. Angelini P, Velasco JA, Flamm S. Coronary anomalies (Incidence, pathophysiology, and clinical relevance). Circulation. 2002;105:2449–2454
  28. De Luca L, Bovenzi F, Rubini D, Niccoli-Asabella A, Rubini G, De Luca I. Stress-rest myocardial perfusion SPECT for functional assessment of coronary arteries with abnormal origin of course. J Nucl Med. 2004;45:532–536
  29. Lim JM, Forsberg MJ, Lee R, Kern MJ. Hemodynamic abnormalities across an anomalous left main coronary artery assessment: evidence for a dynamic ostial obstruction. Catheter Cardiovasc Interv. 2004;63:294–298

 Read at the Eighty-fifth Annual Meeting of The American Association for Thoracic Surgery, San Francisco, Calif, April 10-13, 2005.

PII: S0022-5223(07)00799-4

doi: 10.1016/j.jtcvs.2007.02.051

The Journal of Thoracic and Cardiovascular Surgery
Volume 134, Issue 5 , Pages 1171-1178.e5 , November 2007