Application of Reimplantation Technique in the Patient Who Had Anomalous Aortic Origin of the Right Coronary Artery and Aberrant Right Subclavian Artery

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Sönmez E., Jalalzai I., Çalık E., Arslan Ü.

72nd Congress of the ESCVS, the European Society of CardioVascular and Endovascular Surgery, İstanbul, Türkiye, 25 - 28 Mayıs 2024, cilt.31, sa.1, ss.1-249, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Cilt numarası: 31
  • Doi Numarası: 10.3390/msf2025031001
  • Basıldığı Şehir: İstanbul
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.1-249
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Atatürk Üniversitesi Adresli: Evet

Özet

1.1.6. Application of Reimplantation Technique in the Patient Who Had Anomalous Aortic Origin of the Right Coronary Artery and Aberrant Right Subclavian Artery Ebubekir Sönmez, Izatullah Jalalzai, Eyüp Serhat Çalık and Ümit Arslan Department of Cardiovascular Surgery, Atatürk University Medical Faculty, Erzurum, Türkiye BACKGROUND: A rare congenital cardiac anomaly known as Anomalous Aortic Origin of the Right Coronary Artery (AAORCA) usually affects the right coronary artery (RCA) originating from the left sinüs of valsalva. Although AAORCA can cause angina, syncope, palpitations, and sudden cardiac death, most patients remain asymptomatic. Here, we present a rare case of a 42 year-old man who had AAORCA with an aberrant right subclavian artery. As a treatment, he underwent reimplantation of the right coronary artery to the aorta and right subclavien artery to right common carotid artery. CASE PRESENTATION: A 42-year-old man presented with a history of angina. Beside blood tests and holter effor, to exclude any possibaly ischemic heart disease, coronary CT was ordered which reported that the RCA originated from the left sinus of Valsalva, indicating AAORCA. The RCA passed through the pulmonary artery and ascending aorta. At the same time aberrant right subclavian artery (ARCA) existence is revealed in the CT. ARCA is traveled posterior of esophagus. Operation was planned and we performed a reimplantation of the RCA and ARCA. AAORCA, a rare congenital abnormality, can cause sudden cardiac death. Symptomatic patients should be treated surgically, while asymptomatic patients should be managed clinically, with secondary prevention through platelet antiaggregants and cholesterol reducers. Keywords: Aberrant right subclavian artery; reimplantation; right coronary artery anomaly