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Ann Thorac Surg. 2011 Aug;92(2):731-3. doi: 10.1016/j.athoracsur.2011.01.103.

High anomalous origin of both coronary arteries in a patient with aortic valve disease.

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  • 1Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Hiroshima, Japan.


High anomalous origin of both coronary arteries is extremely rare. We report the case of a patient with a right coronary artery that originated from the left surface of the ascending aorta approximately 25 mm above the sinotubular junction and a left coronary artery that originated from the sinotubular junction close to the non-left commissure. The patient also had persistent left superior vena cava. We diagnosed the anomaly preoperatively using 64-slice multidetector computed tomographic angiography. The detailed imaging information helped us to avoid coronary artery injury and perform the operation safely with adequate myocardial protection.

Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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