Congenital malformations of the coronary arteries: The Texas Heart Institute experience

doi:10.1016/0003-4975(92)91019-6

The Annals of Thoracic Surgery

Volume 54, Issue 4, October 1992, Pages 732-740

https://doi.org/10.1016/0003-4975(92)91019-6 Get rights and content

Abstract

Coronary artery anomalies, some of which are considered clinically insignificant, can be associated with other congenital heart defects, myocardial ischemia, and reduced life expectancy. We conducted a retrospective study to determine the efficacy of surgical treatment in 191 patients who had a total of 202 coronary artery anomalies, which were classified as anomalies of origin (88 patients), termination (93), or distribution (10). Of the 88 patients with anomalies of origin, 60 had a coronary artery arising from the pulmonary artery, 18 had a right coronary artery arising from the left anterior descending artery, and 10 had a coronary artery arising from the contralateral sinus of Valsalva. All patients with an anomaly of termination had a coronary arteriovenous fistula, and all patients with an anomaly of origin had a single coronary artery. The diagnostic and operative techniques for each of the defects are evaluated. Based on our experience, early diagnosis and surgical intervention can yield satisfactory results in patients with coronary artery anomalies, with most experiencing relief of symptoms. The operative procedures were associated with a low early and late mortality; in addition, few patients experienced complications.

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Original articleCongenital malformations of the coronary arteries: The Texas Heart Institute experience

Abstract

Am Heart J

J Thorac Cardiovasc Surg

J Thorac Cardiovasc Surg

J Thorac Cardiovasc Surg

J Thorac Cardiovasc Surg

Am J Cardiol

Am J Cardiol

J Thorac Cardiovasc Surg

Am J Cardiol

Major variations in anatomical origin of the coronary arteries: angiographic observations in 4,250 patients without associated congenital heart disease

Cathet Cardiovasc Diagn

Original article
Congenital malformations of the coronary arteries: The Texas Heart Institute experience