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Case Reports in Cardiology
Volume 2017, Article ID 5832692, 4 pages
Case Report

Thrombosis in the Surgically Corrected Anomalous Right Coronary Artery after Reimplantation in Aorta

1Mid America Heart Institute, Saint Luke’s Hospital and University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA
2University of Kansas Medical Center, Kansas City, KS, USA

Correspondence should be addressed to Ata Bajwa; ude.ckmu@aawjab

Received 14 March 2017; Revised 26 May 2017; Accepted 13 September 2017; Published 31 December 2017

Academic Editor: Ramazan Akdemir

Copyright © 2017 Ata Bajwa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 32-year-old African American female presented with dyspnea, and after several cardiac diagnostic tests, the diagnosis of an anomalous origin of the RCA from the pulmonary trunk was established by multislice coronary CT angiography. She underwent surgical correction with reimplantation of the RCA, from the pulmonary artery to the aortic root. However, 10 days after surgery, she developed frequent episodes of chest pain, and repeat coronary CTA showed a partially occlusive thrombus in the surgically reimplanted RCA. Anticoagulation with warfarin resulted in complete resolution of the patient’s symptoms.