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Sol koroner arterin pulmoner arterden orijin almasi (ALCAPA) nadir olmakla birlikte, ilk olarak 1866’da tarif edilen bir major konjenital kardiyak anomalidir. Sol koroner arterin direkt aortaya reimplantasyonu ve koroner arter baypas greftleme prosedurleri de dahil olmak uzere cok sayida cerrahi teknik ikili koroner arteriyel sistem olusturmayi amaclamaktadir. Sol koroner arter nadir olarak non-facing pulmoner sinusten koken alir ve bu nativ aortaya uzak mesafede bir bolge oldugu icin, direkt reimplantasyonun teknik olarak oldukca zor oldugu cerrahi onarimdir. Bu vaka sunumunda, non-facing pulmoner sinus kokenli sol koroner arterin, otolog pulmoner arter duvarindan tunel olusturularak aortaya rekonstruksiyonu cerrahi teknigi bir secenek olarak sunulmustur.

An Eligible Surgical Repair Technique for Bland-White-Garland Syndrome