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European Heart Journal 1984 5(2):175-178;
Copyright © 1984 by the European Society of Cardiology.
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© 1984 The European Society of Cardiology

Coronary artery changes 3 years after reimplantation of an anomalous right coronary artery

H. VAN MEURS-VAN WOEZIK, P.W. SERRUYS, J.H.C. REIBER, E. BOS and V.H. DE VILLENEUVE*

Thoraxcenter The Netherlands
*Sophia Children's Hospital, Erasmus University Rotterdam The Netherlands

Received 17 February 1983; revised 29 July 1983; .

Address for correspondence: P. W. Serruys, Catheterization Laboratory, Thoraxcenter, Erasmus University, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands.

Abstract

In this paper we report the sequelae of a patient with an anomalous right coronary artery (RCA)originating from the pulmonary artery (PA) in association with a normal heart, operated upon at the age of 13 years. Three years after the end-to-side reimplantation of the RCA, with a rim of thePA, into the aorta, the surgical result has been evaluated by cineangiography. Before operation both coronary arteries were tortuous and increased in size. Afterwards the left coronary artery showed a normalized calibre, although the RCA remained tortuous with no decrease of the internal diameter. The notable postoperative changes in shape and size of the LCA may be due to the disappearanceof the steal phenomenon. The lack of involutive changes in the RCA could be explained by its thinner wall. Left ventricular wall motion, evaluated under resting conditions and during an atrial pacing stress test, was found to be normal.

Key Words: Anomalous right coronary artery • pulmonary artery • corrective surgery • coronary artery changes


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