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Case Report

Clipped RCA: Anomalous Origin of RCA during Minimally Invasive ASD Closure

Chandra Sena M., Resident, Department of Cardio- Thoracic Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka 560069, India. , Ramesh H.C.* , Chandra Sena M.**

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Journal of Cardiovascular Medicine and Surgery 3(2):p 214-216, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/jcms.2454.7123.3217.24

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Abstract

Minimally invasive surgeries have influenced the field of surgeries in a variety of ways specially females and cosmesis. We present a case with a diagnosis of SV-ASD who underwent Right Mini-Thoracotomy ASD closure. Basic pre-operative investigations were done. During the course of surgery a vessel was clipped near the A-P window, post surgery she developed signs of right ventricular dysfunction. The clipped vessel turned out to be an important vessel when a conventional angiogram was done - an anomalous origin of RCA. Emergency coronary artery bypass was performed and patient recovered uneventfully. In a setting of decreased operating space, mapping of coronary vessels may provide us added information which may avert complications.

 

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DOI: http://dx.doi.org/10.21088/jcms.2454.7123.3217.24

Keywords

Sinus Venosus; Atrial Septal Defect; High Origin Right Coronary Artery; Minimally Invasive Surgery. 

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