title: Anomalous left main coronary artery from the main pulmonary artery in an elderly patient.
abstract: Anomalous origin of the left main coronary from the pulmonary trunk in an elderly patient is extremely rare. We report a 73-year-old woman who presented with new onset of angina and atrial fibrillation. Evaluation revealed anomalous origin of the left main coronary artery from the main pulmonary artery and tight proximal left anterior descending coronary artery stenosis. The patient underwent primary closure of the anomalous left main coronary artery orifice within the pulmonary artery, aorta-to-left anterior descending coronary artery saphenous vein bypass grafting and Maze procedure. Six months postoperatively the patient was asymptomatic and a Thallium stress test was negative for ischemia.
authors.affiliation: Department of Cardiothoracic Surgery, Boston Medical Center, Boston, Massachusetts 02118, USA.
authors.forename: Amit
authors.initials: A
authors.lastname: Korach
authors.forename: Praveen
authors.initials: P
authors.lastname: Menon
authors.forename: Mandeep
authors.initials: M
authors.lastname: Dhadly
authors.forename: Khether E
authors.initials: KE
authors.lastname: Raby
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Shemin
authors.forename: Oz M
authors.initials: OM
authors.lastname: Shapira
mesh_terms: D000368:Aged; D000787:Angina Pectoris / Q000601:surgery*; D001281:Atrial Fibrillation / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D023921:Coronary Stenosis / Q000601:surgery*; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities*; D016896:Treatment Outcome