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We present a case of an anomalous origin of the left coronary artery from the pulmonary artery, with a proximal intramural course in the aortic wall. We describe the technique of its reimplantation at the site of the transverse aortotomy, using autologous pericardial patch enlargement of the newly created coronary ostium.

Reimplantation of the left coronary artery with aortic intramural course in an ALCAPA patient