Anomalous origin of the left coronary artery from the pulmonary artery A case using the autologous pulmonary arterial wall graft.
A 10-year-old girl with anomalous origin of the left coronary artery from the pulmonary artery underwent a two coronary system reconstruction with a new technique. Her left coronary artery was stenotic next to its origin and had a severe adhesion with the aorta. We made a bypass grafting between the aorta and the left coronary artery with a roll shaped transected main pulmonary arterial wall graft. The postoperative angiogram showed a good patency of a reconstructed left coronary artery. This technique is considered useful surgical option for bypass grafting to the left coronary artery when the left coronary artery has an obstructive lesion or a difficulty to dissect and mobilize.
Shinkawa
Takeshi
T
Department of Cardiothoracic Surgery, Kobe Children's Hospital, 1-1-1, Takakura-dai, Suma-ku, Kobe 654-0081, Japan. newriver@dream.com
Yamaguchi
Masahiro
M
Yoshimura
Naoki
N
Oka
Shigeteru
S
D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002648:Child; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities*