title: Reoperation for correction of anomalous origin of the left coronary artery from the pulmonary artery with return of left ventricular function.
abstract: An adult patient is presented in whom anomalous origin of the left coronary artery from the pulmonary artery was diagnosed in infancy. Initial treatment included a palliative poudrage procedure. Resulting widespread, dense adhesions were encountered during reoperation in adulthood and precluded direct reimplantation of the left coronary artery into the aorta. Instead, a tunnel within the pulmonary artery was constructed from the aorta to the left coronary ostium using a baffle of woven Dacron. Preoperative and postoperative studies showed improvement in ejection fraction and resolution of diaphragmatic hypokinesis.
mesh_terms: D000328:Adult; D001166:Arteriovenous Shunt, Surgical; D003330:Coronary Vessel Anomalies / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D011093:Polyethylene Terephthalates; D012086:Reoperation; D013318:Stroke Volume
chemical_list: D011093:Polyethylene Terephthalates