Surgery for Anomalous Origin of The Coronary Artery from The Opposite Sinus of Valsalva

A Case Series

Abstract

In this case series, we report our experience with three surgical cases of anomalous origin of the coronary artery from the opposite sinus of Valsalva. Case 1: A 16-year-old boy complained of chest pain during physical education. The patient was diagnosed with an anomalous origin of the left coronary artery from the right sinus of Valsalva and underwent re-implantation into the left sinus of Valsalva. Case 2: A 51-year-old man had complained of a sensation of chest strangulation upon exertion since his 30s. He was diagnosed with anomalous origin of the right coronary artery from the left sinus of Valsalva and underwent reimplantation into the right sinus of Valsalva. Case 3: A 14-year-old girl complained of chest pain during a physical education class. The patient was urgently transferred to our hospital due to cardiogenic shock. The patient was placed on extracorporeal membrane oxygenation and diagnosed with an anomalous origin of the left coronary artery from the right sinus of Valsalva. Owing to widespread myocardial ischemia, an Impella and intra-aortic balloon pump were inserted for mechanical circulatory support. Unroofing was performed in the acute phase. A left ventricular assist device was fitted because of the persistent low cardiac function caused by ischemic cardiomyopathy.