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Grafting an anomalous coronary artery: a left anterior descending from the right coronary artery grafted with the right internal thoracic artery.

Elbert E WilliamsAndrea AmabileGianluca TorregrossaJohn D Puskas
Published in: Journal of cardiac surgery (2020)
A left anterior descending artery (LAD) arising from the right coronary artery (RCA) or right sinus of Valsalva is an exceedingly rare anomalous variant occurring in 0.03% of the population. We here present the case of an 81-year-old male with severe triple vessel coronary artery disease who was found to have an aberrant LAD arising from the proximal RCA, and was successfully treated with off-pump, total arterial, and complete surgical revascularization.
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