Right aortic arch with mirror image branching found incidentally during coronary surgery
Girish N Rao1, Sabin S Sainudeen2, Samah Mohamed2
1Department of Cardiothoracic Surgery, Heart Hospital, Doha, Qatar.
Abstract:
Right aortic arch with a left innominate (brachiocephalic) artery with mirror image branching (RAMI) is a rare congenital anomaly, and it is unusual to diagnose it in adulthood. There are very few cases of cardiac surgery being performed for acquired cardiac disease on a congenital RAMI patient. We present a patient who had an incidental finding of a RAMI anomaly found during coronary artery bypass surgery. Post-operatively computerised tomography showed both his congenital lesions and his bypass grafts.
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