A 30-year-old man was diagnosed to have an anomalous origin of the right co
ronary from the pulmonary artery. Through a mini-sternotomy, without extrac
orporeal circulation, reimplantation of the anomalous origin of the right c
oronary artery from the pulmonary artery to the aorta was successfully perf
ormed, This is a successful case of off-pump cardiac correction of this typ
e of isolated anomaly, using a minimally invasive approach.