Robotic coronary artery bypass for aberrant right coronary artery stenosis

被引:3
作者
Chen, Kuan-chin Jean [1 ]
Teefy, Patrick [2 ]
Kiaii, Bob [1 ]
Vezina, William C. [3 ]
Chu, Michael W. A. [1 ]
机构
[1] Univ Western Ontario, Dept Surg, Div Cardiac Surg, London, ON N6A 3K7, Canada
[2] Univ Western Ontario, Dept Med, Div Cardiol, London, ON N6A 3K7, Canada
[3] Univ Western Ontario, Div Nucl Med, Dept Med Imaging, London, ON N6A 3K7, Canada
关键词
Coronary artery bypass grafts; Coronary artery imaging; Coronary artery pathology; Minimally invasive surgery; Robotics;
D O I
10.1016/S0828-282X(10)70445-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Anomalous coronary arteries that course between the aorta and pulmonary artery are subject to compressive forces and can manifest angina, myocardial infarction and sudden death. The current report presents a young, female patient who presented with a short duration of severe, rapidly progressive angina despite optimal medical therapy. Combined computed tomography and myocardial perfusion scanning identified an anomalous dominant right coronary artery that appeared kinked at its origin between the aorta and main pulmonary artery. A robot-assisted right internal thoracic artery to right coronary artery bypass was performed, which was confirmed to be widely patent (FitzGibbon grade A) on routine intraoperative angiography. The procedure completely resolved the patient's angina symptoms.
引用
收藏
页码:E326 / E327
页数:2
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