Reconstruction of the anomalous left coronary artery within the main pulmonary artery.
Successful reconstruction of the anomalous origin of the left coronary artery from the pulmonary artery was performed in a 27-year-old man. A patch of glutaraldehyde-treated bovine pericardium was used to construct a tunnel within the main pulmonary artery, connecting a created aortopulmonary window to the ostium of the left coronary artery. Angiography one month after the operation demonstrated patency of the tunnel. The procedure is suitable when direct re-implantation of the left coronary artery into the aorta is impossible for technical reasons.
D000328:Adult; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D011859:Radiography