Anomalous right coronary artery from the pulmonary artery in Taussig-Bing anomaly

The presence of associated anomalies in patients with double-outlet right v entricle can significantly alter surgical intervention. Preoperative deline ation of these anomalies can facilitate surgical planning and improve outco me. We describe a case in which the right coronary artery and anterior desc ending coronary artery arose from the pulmonary artery in a patient with do uble-outlet right ventricle with subpulmonary ventricular septal defect (Ta ussig-Bing anomaly). Recognition of this important anomaly prevented signif icant intraoperative myocardial damage by altering techniques of cardiopleg ia administration for myocardial preservation. (C) 1998 by The Society of T horacic Surgeons.