Surgical treatment of a rare association: Aberrant right coronary origination, coronary arteriovenous fistula, and aortic root aneurysm

oronary artery anomalies and coronary artery fistulas are rare congenital entities that are not usually associated. These two abnormalities combined made it possible for a third unusual event, namely annuloaortic ctasia in a young patient without any feature of connective tissue isease, to induce right ventricular failure. A modified Bentall rocedure with reimplantation of the left coronary artery on the nterior portion of the prosthesis solved the three problems and estored right ventricular function.