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KMID : 0880520150510010043
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Chonnam Medical Journal
2015 Volume.51 No. 1 p.43 ~ p.46
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Totally Occluded Grafted Right Internal Mammary Artery to Anomalously Originated Right Coronary Artery
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Park Hyuk-Jin
Hong Young-Joon
Lee Seung-Hun
Oh Tae-Ryom
Choi Jung-Ho
Kim Min-Ah
Park Keun-Ho
Sim Doo-Sun
Ahn Young-Keun
Jeong Myung-Ho
Cho Jeong-Gwan
Park Jong-Chun
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Abstract
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An anomalous aortic origin of a coronary artery is rare and surgical intervention is recommended when the patient is symptomatic. We performed coronary artery bypass graft surgery in a 21-year-old male patient with a right coronary artery anomalously originating from the left coronary sinus. The artery was significantly stenosed by external compression between the aorta and the pulmonary artery. However, the graft became occluded 1 year after the operation. In such cases, the dynamic nature of the stenosis can cause relatively intact antegrade competitive flow from the native coronary artery and lead to an occlusion of the grafted artery. Methods for evaluating flow rates or intraluminal pressures of native arteries could be helpful in decision-making in similar cases.
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KEYWORD
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Coronary artery bypass, Coronary disease, Coronary vessel anomalies
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Listed journal information
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