title: Anomalous left anterior descending coronary artery from pulmonary artery with ventricular septal defect.
abstract: Anomalous origin of the left anterior descending coronary artery with associated congenital defects is very rare. An angiogram of a 47-year-old woman admitted for a ventricular septal defect closure revealed an anomalous left anterior descending coronary artery arising from the left posterior sinus of the pulmonary artery. During the surgical procedure, the origin of the left anterior descending coronary artery was closed with pledgetted polypropylene sutures through the pulmonary artery. The ventricular septal defect was closed with a patch through the right atrium, and the left anterior descending coronary artery was bypassed with the left internal mammary artery.
authors.affiliation: Department of Cardiothoracic Surgery, Unit II, Christian Medical College, Vellore, India.
authors.forename: Thomas
authors.initials: T
authors.lastname: Stephen
authors.forename: Korah T
authors.initials: KT
authors.lastname: Kuruvila
authors.forename: Madhu Andrew
authors.initials: MA
authors.lastname: Philip
authors.forename: Vinayak
authors.initials: V
authors.lastname: Shukla
authors.forename: Roy John
authors.initials: RJ
authors.lastname: Korula
mesh_terms: D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D019736:Prostheses and Implants; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000601:surgery; D013536:Suture Techniques; D014261:Tricuspid Valve / Q000002:abnormalities / Q000601:surgery
chemical_list: D011093:Polyethylene Terephthalates