ANOMALOUS ORIGIN OF RIGHT CORONARY-ARTERY FROM LEFT AORTIC SINUS

Saphenous vein bypass grafting relieved myocardial ischemia caused by the anomalous origin of the right coronary artery from the left aortic sinus in a premenopausal woman. Contrary to the conventional impressi on, the anomaly is associated with sudden death, aborted death, angina , vasospasm, arrhythmia and cardiac dysfunction and is diagnosed more frequently on angiography. The literature is reviewed and the guidelin es for diagnosis and surgical management of this not-so-rare but poten tially serious anomaly are presented.