Bland-White-Garland syndrome in pregnancy: reoperation of ALCAPA with an internal thoracic radial artery "Y"-graft.
Anomalous origin of the left coronary artery from the pulmonary artery is rare and more so in the adult. Reimplantation of the left main coronary into the aorta is successful in early life, but it may be more difficult in the adult who had a previous repair. We report a successful reoperation of anomalous origin of the left coronary artery from the pulmonary artery in an adult patient using a left internal thoracic and radial artery "Y"-graft. Composite arterial grafting has become an established and straight forward technique in coronary surgery, and it is appropriate and recommended for congenital lesions in adults and at any age if necessary.
Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Cliff K
CK
Choong
Carlo
C
Martinez
Hendrick B
HB
Barner
Phillip A
PA
Ludbrook
D000015:Abnormalities, Multiple / Q000601:surgery*; D003330:Coronary Vessel Anomalies / Q000601:surgery*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery*; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery*; D017534:Radial Artery / Q000637:transplantation*; D012086:Reoperation; D013577:Syndrome; D013895:Thoracic Arteries / Q000637:transplantation*; D014656:Vascular Surgical Procedures / Q000379:methods