Korean J Thorac Cardiovasc Surg.
2008 Oct;41(5):636-639.
Coronary Artery Bypass Grafting in Patients with Acute Myocardial Infarction with an Abnormal Origin of the Right Coronary Artery
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, The Catholic University College of Medicine, Korea. kyh7890@catholic.ac.kr
Abstract
- An abnormal origin of the right coronary artery can be responsible for sudden death, myocardial ischemia, arrhythmia and syncope, and it may be associated with the accelerated development of atherosclerotic disease. The mechanisms of ischemia in the case of an abnormal origin of the right coronary artery are currently unclear and several surgical methods have been proposed to treat this malady. Multidetector Computed Tomography shows the course of the abnormal coronary artery, it helps to clarify the mechanism of the ischemia and it aids in choosing the best surgical approach. We report here on a case of acute myocardial infarction with an abnormal origin of the right coronary artery. Coronary artery bypass grafting was subsequently carried out to treat this patient.
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