[Modified Takeuchi in adults].
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.
Jaurena
J M
JM
Servicio de Cirugía Cardíaca, Hospital de la Santa Creu i Sant Pau., Barcelona.
Subirana
M
M
Montiel
J
J
Ruyra
X
X
Blasco
E
E
Torner
M
M
Caralps
J M
JM
D000328:Adult; D003330:Coronary Vessel Anomalies / Q000601:surgery*; D005260:Female; D006801:Humans; D014656:Vascular Surgical Procedures / Q000379:methods
Takeuchi modificado en adultos.