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Unroofing of the Anomalous Right Coronary Artery Using the Electrical Fulguration Technique
Unai S, Jenkins H, Sarhan H, Pettersson G. Unroofing of the Anomalous Right Coronary Artery Using the Electrical Fulguration Technique. July 2025. doi:10.25373/ctsnet.29636840
This article is part of CTSNet’s Guest Editor Series, Coronary Arterial Anomalies—Pediatric and Adult Congenital. CTSNet Senior Editor Dr. Sameh Said invited both pediatric and adult cardiac surgeons from around the world to contribute clinical videos on various coronary arterial anomalies and different surgical techniques that are used to manage them.
Several techniques are used to address anomalous coronaries. Dr. Gosta Pettersson described a simplified unroofing technique using electrocautery fulguration in 2019. In this video, three patients who underwent unroofing with this technique are presented. This is a safe, reproducible method that can be applied to the majority of patients with anomalous origin of the right coronary artery.
References
- Vinnakota, A., et al. (2019). "Anomalous Aortic Origin of the Coronary Arteries: A Novel Unroofing Technique in an Adult Cohort." Ann Thorac Surg 107(3): 823-828.
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