Anomalous Aortic Origin of Coronary Arteries: Case Report of Unroofing With Coronary Re-Implantation Technique

C. Riera-Kinkel, David Roldan-Morales, M. Rosas-Peralta, G. Borrayo-Sánchez, A. Ramirez-Castañeda, L. Moreno-Ruiz, Yatsil Necoechea-Osuna, Erick Ramírez-Árias, A. Lopez-Gutierrez, Jaime Salgado-Vázquez, Sebastian Inzunza-Saldana, H. Márquez-González, Lucelli Yanez-Gutierrrez, G. Saturno-Chiu
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Abstract

Anomalous Aortic Origin of Coronary Arteries is a coronary disorder uncommon but occasionally lethal. The possibility of sudden death is the indication for surgery. We inform a case of a patient with anomalous aortic origin of right coronary artery which emerged from left sinus of Valsalva, catalogued as type III. He was previously treated by CBAG, however the bypass was occluded and therefore he was sent to our service. We made a correction using the unroofing technique. Unroofing technique is a reproducible technique with good results, ultimately solving the problem. The outcome was excellent, 6 months later he was reported asymptomatic.
冠状动脉起源地异常:冠状动脉再植入术开颅1例
冠状动脉异常起源地是一种少见但有时致命的冠状动脉疾病。猝死的可能性是手术的指征。我们报告了一例右冠状动脉主动脉异常起源于左Valsalva窦的病例,分类为III型。他之前接受过CBAG治疗,但是旁路堵塞,因此他被送到了我们的服务。我们使用无顶技术进行了修正。揭顶技术是一种可重复的技术,效果良好,最终解决了问题。结果很好,6个月后无症状。
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