Anomalous Right Coronary Artery in Adult

Author: Ashok Muralidaran, MD
Institution: Oregon Health & Science University
Date Reviewed: 2023
Original Case: Edward Verrier, MD / University of Washington
Learning Domain: Adult Cardiac Surgery
Learning Objective: Coronary anomalies, AAOCA
PowerPoint File: File STS AAORCA 2023 Muralidaran V3.pptx

 

Discussion Points for Conference

  • Incidence of Coronary Anomalies
  • Importance of Coronary Anomalies
    • Some more dangerous that others
  • Presentation
    • Often in adults
  • Chest pain / sudden death
  • Therapeutic options
    • Aortic Unroofing 
    • Ostial translocation 
    • Coronary artery bypass grafting

 

Learning points

  • Controversy on importance of many coronary anomalies
  • Some may be more lethal than others
  • Symptoms often present later in life
  • Sudden death rare
  • Therapy must be individualized