# The reimplantation of anomalous aortic origin of the right coronary artery under lower mini-sternotomy

## TL;DR

A 28-year-old man with a rare heart condition underwent successful surgery to reimplant his right coronary artery through a small chest incision.

## Contribution

This case report presents a minimally invasive surgical approach for treating anomalous aortic origin of the right coronary artery.

## Key findings

- The patient experienced chest pain and was diagnosed with AAORCA using emergency catheterization.
- Reimplantation via lower mini-sternotomy was effective and allowed for a quick recovery.
- The patient was discharged on postoperative Day 11 with a good recovery.

## Abstract

The patient was 28-year-old male. He was suffered from chest pain at rest. He was diagnosed with AAORCA (anomalous aortic origin of the right coronary artery) by emergency catheter. Myocardial scintigraphy indicated ischemic changes in the right coronary artery region, so surgery was the plan. Reimplantation was selected because the coronary artery computed tomography showed little intramural travel and mild coronary artery stenosis. The surgery was performed under lower mini-sternotomy to facilitate early return to work. The patient had a good postoperative course, and was discharged from the hospital postoperative Day 11 after rehabilitation. We report a case of the right coronary artery reimplantation with lower mini-sternotomy for AAORCA.