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The Annals of Thoracic Surgery, Vol 58, 829-832, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Right coronary artery with anomalous origin and slit ostium

RG Rinaldi, J Carballido, R Giles, E Del Toro and R Porro
Department of Cardiovascular Surgery, Pavia Hospital, San Juan, Puerto Rico.

Right coronary arteries that arise from the left sinus or ectopically from the right sinus with a slit ostium can cause myocardial ischemia, myocardial infarction, or sudden death. The surgical repair of these anomalies has evolved toward a simpler operation that widens the orifice of origin and reduces the compression of the intramural segment. We have repaired these anomalies without mortality in 8 patients. We summarize our experience and the evolution of this procedure.

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