Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Unroofing Procedure in the Treatment of Anomalous Origin of Right Coronary Artery from Left Sinus of Valsalva between Aorta and Pulmonary Trunk

대동맥과 주폐동맥 사이의 좌관상동맥동에서 이상기시하는 우관상동맥의 Unroofing 술식을 이용한 치료

  • Park Chan Beom (Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea) ;
  • Jo Min Seop (Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea) ;
  • Kim Young Du (Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea) ;
  • Kang Chul Ung (Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea) ;
  • Jin Ung (Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea) ;
  • Cho Deog-Gon (Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea) ;
  • Park Kuhn (Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea) ;
  • Cho Kyu-Do (Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea) ;
  • Kim Chi Kyung (Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea)
  • 박찬범 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 조민섭 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 김영두 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 강철웅 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 진웅 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 조덕곤 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 박건 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 조규도 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 김치경 (가톨릭대학교 의과대학 흉부외과학교실)
  • Published : 2005.11.01
Download PDF
⟨ Previous Next ⟩

Abstract

Anomalous origin of right coronary artery from left sinus of valsalva is associated with sudden unexpected death, syncope, arrhythmia and myocardial ischemia. The mechanism that explains the restriction of coronary flow in the anomalous coronary artery is unclear but several surgical methods have been proposed, such as coronary artery bypass graft, coronary reimplantation, translocation of pulmonary artery, and unroofing procedure. We reported the surgical correction of the anomalous origin of right coronary artery from left sinus of valsalva between the aorta and pulmonary trunk using the unroofing procedure.

대동맥과 주폐동맥 사이의 좌관상동맥동에서 이상기시하는 우관상동맥은 급사, 실신, 부정맥, 심근허혈을 일으킬 수 있다. 이러한 기형에서 관상동맥의 혈류에 제한을 주는 기전은 확실하지 않으며, 관상동맥우회로술이나 관상동맥의 이식, 폐동맥의 전위, Unroofing 술식과 같은 여러 가지의 수술적 치료방법이 보고되고 있다. 저자들은 Unroofing 술식을 이용하여 대동맥과 주폐동맥 사이의 '좌관상동맥동에서 이상기시하는 우관상동맥을 교정하여 보고하는 바이다

Keywords

References

  1. Isner JM, Shen EM, Martin ET, Fortin RV. Sudden unexpected death as a result of anomalous origin of the right coronary artery from the left sinus of valsalva. Am J Med 1984;76:155-8
  2. Kragel AH, Roberts WC. Anomalous origin of either the right or left main coronary artery from the aorta with subsequent coursing between aorta and pulmonary trunk: Analysis of 32 necropsy cases. Am J Cardiol 1988;62:771-7 https://doi.org/10.1016/0002-9149(88)91220-9
  3. Rinaldi RG, Sosa J, Olmeda S, Cruz H, Carballido J, Quintana C. Surgical treatment of right coronary arteries with anomalous origin and slit ostium. Ann Thorac Surg 2004; 77:1525-9 https://doi.org/10.1016/j.athoracsur.2003.08.084
  4. Di Lello F, Mnuk JF, Flemma RJ, Mullen DC. Successful coronary reimplantation for anomalous origin of the right coronary artery form the left sinus of valsalva. J Thorac Cardiovasc Surg 1991;102:455-6
  5. Rodefeld MD, Culbertson CB, Rosenfeld HM, Hanley FL, Thompson LD. Pulmonary artery translocation: A surgical option for complex anomalous coronary artery anatomy. Ann Thorac Surg 2001;72:2150-2 https://doi.org/10.1016/S0003-4975(01)03208-8
  6. Hariharan R, Kacere RD, Angelini P. Can stent-angioplasty be a valid alternative to surgery when revascularization is indicated for anomalous origination of a coronary artery from the opposite site? Texas Heart Inst J 2002;29:308-13
  7. Rinaldi RG, Carballido J, Giles R, Toro ED, Porro R. Right coronary artery with anomalous origin and slit ostium. Ann Thorac Surg 1994;58:828-32 https://doi.org/10.1016/0003-4975(94)90760-9
  8. Cohen AJ, Grishkin BA, Helsel RA, Head DH. Surgical therapy in the management of coronary anomalies: Emphasis on utility of internal mammary artery grafts. Ann Thorac Surg 1989;47:630-7 https://doi.org/10.1016/0003-4975(89)90454-2