Advantage of vein grafts for anomalous origin of a right coronary artery

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Publisher: Springer
Document Type: Report
Length: 183 words

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Byline: Rei Kansaku (1), Hirofumi Saitoh (1), Shoji Eguchi (1), Yukio Maruyama (1), Hideaki Ohtsuka (2), Kotaro Higuchi (2) Keywords: Coronary artery bypass grafting; Venous grafts; Congenital heart disease; Ischemic heart disease; Coronary anomaly Abstract: A 66-year-old man with anomalous origin of the right coronary artery suffered from chest pain. The results of coronary angiography and multidetector computer tomography indicated that the proximal right coronary artery was intermittently compressed, causing the ischemia. Coronary artery bypass grafting was regarded as a reliable treatment compared with percutaneous coronary intervention or other surgeries. Because of plentiful flow of the right coronary artery, we decided to use a vein graft to avoid competitive flow. Postoperative coronary angiography revealed intact flow in both the native coronary artery and the vein graft 1 year after the surgery. The myocardial ischemia seen on scintigraphy and the chest pain had disappeared. Author Affiliation: (1) Department of Cardiovascular Surgery, Niigata Kobari Hospital, 3-27-11 Kobari, Nishi-ku, Niigata, Niigata, 950-2022, Japan (2) Department of Cardiology, Niigata Kobari Hospital, Niigata, Japan Article History: Registration Date: 09/03/2008 Received Date: 03/06/2008 Accepted Date: 21/09/2008 Online Date: 12/03/2009

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Gale Document Number: GALE|A232705796