title: [Modified Takeuchi in adults].
abstract: Anomalous origin of left coronary artery from pulmonary artery is a rare congenital anomaly (0.25-0.46%). Mortality is high in the first months (65%). Paradoxically, some patients reach adulthood because of a net made of collaterals from the right coronary artery. Thus, we classify the entity in two ways of clinical onset: childhood and adulthood. Ideally, the best surgical approach is the arrangement of a double coronary system. The most well-known technique is the one described by Takeuchi, that links the aorta and the left coronary artery by a tunnel through the pulmonary artery, made from a pulmonary artery frontal wall flap (closing the defect with a pericardial patch). We present a case of anomalous origin of the left coronary artery in an adult, treated in our institution using a modified Takeuchi technique.
authors.affiliation: Servicio de Cirugía Cardíaca, Hospital de la Santa Creu i Sant Pau., Barcelona.
authors.forename: J M
authors.initials: JM
authors.lastname: Jaurena
authors.forename: M
authors.initials: M
authors.lastname: Subirana
authors.forename: J
authors.initials: J
authors.lastname: Montiel
authors.forename: X
authors.initials: X
authors.lastname: Ruyra
authors.forename: E
authors.initials: E
authors.lastname: Blasco
authors.forename: M
authors.initials: M
authors.lastname: Torner
authors.forename: J M
authors.initials: JM
authors.lastname: Caralps
mesh_terms: D000328:Adult; D003330:Coronary Vessel Anomalies / Q000601:surgery*; D005260:Female; D006801:Humans; D014656:Vascular Surgical Procedures / Q000379:methods
vernacular_title: Takeuchi modificado en adultos.