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Anomalous left coronary artery from the pulmonary artery: modified extra-anatomic reimplantation
Author(s) -
Waleed Albadi,
Bernard Kreitmann,
François Roubertie
Publication year - 2020
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1093/ejcts/ezaa344
Subject(s) - medicine , left coronary artery , cardiology , artery , coronary sinus , pulmonary artery , ventricular outflow tract , trunk , pericardium , main pulmonary artery , ecology , biology
The anomalous origin of the left coronary artery from the pulmonary artery in the position of a non-facing coronary sinus is extremely rare. The anatomical position of the ectopic ostia will determine which is the appropriate operative approach to create a dual-coronary supply. This report describes a technique of modified extra-anatomical rerouting using autologous pericardium patch and pulmonary artery flap to create a neo-composite coronary trunk passing anterior to the right ventricular outflow tract.

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