Direct aortic interposition of anomalous left anterior descending coronary artery without cardiopulmonary bypass.
An anomalous origin of the left anterior descending (LAD) coronary artery arising from the pulmonary artery is a congenital malformation rarely described in adults. We describe the case of a 42-year-old man with this malformation who underwent an interposition of the LAD coronary artery to the ascending aorta with an off-pump technique. The clinical presentation, angiographic findings, and surgical treatment are discussed.
Cebi
Niyazi
N
Department of Thoracic and Cardiovascular Surgery, St-Johannes-Hospital, Dortmund, Germany. niyazi@destur.de
Frömke
Johannes
J
Walterbusch
Gerd
G
D000787:Angina Pectoris / Q000209:etiology; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002315:Cardiopulmonary Bypass; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery