A case is presented with combined anomalies of coronary arteries: single dominant right coronary artery, ectopic origin of hypoplastic left coronary artery from the right sinus of Valsalva, anomalous interseptal course of the latter artery, absence of typical left descending and circumflex arteries from the left coronary artery and presence of myocardial bridging.

Coronary artery fistula is an uncommon finding during angiographic exams. We report a case series of five patients with congenital coronary fistulas. The first patient was 56 years old and had a coronary fistula associated with a partial atrio ventricular defect, the second patient was 54 years old and had two fistulas originating from the right coronary artery with a severe atherosclerotic cor...

A 40 year-old man with no significant past history except for asymptomatic 1 st degree heart block presented for general health screen. Clinical examination revealed a loud continuous murmur with diastolic accentuation in the left precordium, non-collapsing pulse, and no differential pulses in the upper and lower limbs. The ECG showed normal sinus rhythm with PR interval of 220 milliseconds. Tr...

Complete arterial revascularization for the right coronary artery is underused mainly due to technical issues. Herein we report on a new approach for complete arterial revascularization of arterial revascularization for the right coronary artery branches. Complete arterial revascularization for the right coronary artery revascularization was performed in 8 patients using a reverse T composite a...

A coronary arteriovenous (AV) fistula consists of a communication between a coronary artery and a cardiac chamber, a great artery or the vena cava. It is the most common anomaly that can affect coronary perfusion. Yet bilateral involvement of a coronary fistula, constitutes an uncommon subgroup of coronary AV fistulas. We herein report on a case of bilateral coronary AV fistula that was coexist...

BACKGROUND We sought to determine whether location of the second internal thoracic artery (ITA) graft used for bilateral ITA grafting affects mortality and morbidity of patients with 3-system coronary artery disease and to identify factors associated with second ITA location. METHODS AND RESULTS From January 1972 to June 2006, 3611 patients with 3-system coronary artery disease underwent bila...