[HSF] Anomalous RCA

[Nasser F. Abou'Seada]

This subject has been discussed before. Prasanna can get the thread? I would
opt for proximal ligation and modified Caprol technique translocation the
RCA ostium, avoiding the AO-PA dangerous course.

NFA

On 5/31/07, psimha <prasannasimha at gmail.com> wrote:
>
> Compression of the RCA can lead to sudden death so either ligation +
> ROMA or translocation and reimplantation are possibilities.
> Prasanna
> Dan Waters wrote:
> > I am seeing a 30 y/o male with symptoms of exertional dyspnea and chest
> pressure.  Cath shows an anomalous RCA from the Left coronary sinus of
> Valsalva. The left main, LAD and Cx are normal in origination and
> morphology; The RCA itself appears without stenosis although a CT Angio
> described an acute angulation of its orifice and a "possible" slit-like
> orifice.  The  RCA on CTA courses between the AO and the PA. The patient did
> walk for 11 minutes on the treadmill, but was SOB and had mild chest
> pressure at the end of the test. No EKG changes were noted; Echo is normal;
> no other anomalies.  Bypass? Reimplant?  Any thoughts appreciated.
> >
> > _______________________________________________
> > OpenHeart-L mailing list
> >
> > Send postings to:
> >  OpenHeart-L at lists.hsforum.com
> >
> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> > http://mmp.cjp.com/mailman/listinfo/openheart-l
> >
> > All messages transmitted by the OpenHeart-L are subject to the policies
> and
> > disclaimers posted at:
> > http://www.hsforum.com/listdisclaim
> > -----------------------------------------
> >
> >
> >
>
> _______________________________________________
> OpenHeart-L mailing list
>
> Send postings to:
> OpenHeart-L at lists.hsforum.com
>
> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> http://mmp.cjp.com/mailman/listinfo/openheart-l
>
> All messages transmitted by the OpenHeart-L are subject to the policies
> and
> disclaimers posted at:
> http://www.hsforum.com/listdisclaim
> -----------------------------------------
>



-- 
Nasser  F.  Abou'Seada,
MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
FICS,FISCVS,FSSRCTS,FHMS,MESC