Successful surgical treatment of a septuagenarian with anomalous right coronary artery from the pulmonary artery with an eleven year follow-up. Case report and review of literature

An anomalous origin of the right coronary artery from the pulmonary artery [ARCAPA] is a very rare coronary artery anomaly with only 98 cases reported in literature till date. We report the oldest surgically treated patient and the fourth ever septuagenarian with this anomaly diagnosed ante-mortem with an eleven year follow up. The literature on this anomaly was reviewed and discussed to highlight the clinical implications

Off-pump coronary artery bypass grafting through left antero-lateral thoracotomy [thora-cab] - case report and review of literature

We report the first case of off-pump complete myocardial revascularization through antero-lateral thoracotomy [Thora-CAB] in Middle-East. 69 year old gentleman having angina pectoris for last three years with severe double vessel disease involving the left anterior descending artery [95% proximal lesion] and the circumflex system [80% mid circumflex lesion with significant osteal disease in obtuse marginal] and insignificant disease in right coronary artery with moderate left ventricular impairment underwent Thora-CAB, Post-operatively, he had minimal pain, quick symptomatic improvement and no complications. He was discharged home on 5th post-operative day. This indicates that the thoracotomy approach is safe and practical for CABG. It is well tolerated hemodynamically with no/minimal post-operative morbidity