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Acute Presentation in Adult in Bland‐White‐Garland Syndrome: Double‐Conduit, Two‐Coronary Repair
Author(s) -
Luthra Suvitesh,
Skillington Peter,
Grigg Leeanne
Publication year - 2008
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2008.00646.x
Subject(s) - medicine , cardiology , electrical conduit , collateral circulation , myocardial infarction , left coronary artery , coronary circulation , presentation (obstetrics) , artery , blood supply , coronary anatomy , blood flow , surgery , coronary angiography , mechanical engineering , engineering
Adult presentation with myocardial infarction in anomalous origin of the left main coronary artery from the pulmonary artery is rare. We describe the different coronary flow physiology in the adult form. A double‐conduit repair with a separate feeder vessel to each limb of the left coronary circulation may be necessary to balance the myocardial demand and supply in large systemic collateral coronary beds. The report describes the use of the left internal mammary and radial artery for repair.