Abstract
Anomalous origin of coronary arteries may be encountered coincidentally in the presence of unrelated pathology or when these are affected directly. This may directly be responsible for affecting the procedure or outcome. Various types of anomalies of origin, as well as course of coronary arteries, have been classified in the past. Here we report 3 cases of anomalous origin of coronary arteries in different scenarios. First case had anomalous coronary with bicuspid aortic valve with dilated ascending aorta for which Bentall’s procedure was done, while the second and third cases were anomalous coronaries with coronary artery disease for which coronary artery bypass grafting was done.
Highlights
Coronary artery anomalies are congenital abnormalities that have been described in the past and discussed extensively by Angelini [1]
The patient was operated and left internal mammary artery was anastomosed to left anterior descending artery (LAD), and reverse saphenous vein grafts from aorta to ramus and diagonal
Coronary buds arise from the sinuses of Valsalva and their location depends on the region of the division of the bulbous cordis into aorta and pulmonary arteries
Summary
Coronary artery anomalies are congenital abnormalities that have been described in the past and discussed extensively by Angelini [1]. Presentation of these anomalies is variable, and these can be challenging intraoperatively various cardiac conditions. We faced 3 such cases which we present in this article
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