The role of coronary artery reimplantation for anomalous right coronary artery originating from the opposite sinus of valsalva: preliminary outcomes and insights from a latin American country.

Despite promising results, coronary artery reimplantation appears to have fallen into oblivion among multiple approaches to repair anomalous coronary arteries. We describe the outcomes of 12 patients with an anomalous right coronary artery originating from the opposite sinus of Valsalva with an interarterial course who were surgically treated with this technique between 2018 and 2023 in two institutions in Bogota, Colombia. We provide preliminary evidence of the value of coronary reimplantation as a more than suitable technique, particularly in resource-constrained settings. It offers high rates of symptomatic control and functional class recovery while assessing all potential high-risk features, with a low risk of complications, even in middle-aged patients. We also advocate using noninvasive anatomical descriptions and patient symptoms over inducible ischaemia tests in decision-making.