title: Unroofing aortic intramural left coronary artery arising from right pulmonary artery.
abstract: We report an operative case of the anomalous origin of the left coronary artery from the right pulmonary artery with aortic intramural course. This particular anatomy was clearly identified with a preoperative angiogram. The restoration of the two-coronary system was accomplished by unroofing the intramural segment into the left sinus of Valsalva with encouraging midterm results. The details of this anatomical correction are described with a review of the literature.
authors.affiliation: Department of Cardiovascular Surgery, National Cardiovascular Center, Suita, Osaka, Japan.
authors.forename: Iki
authors.initials: I
authors.lastname: Adachi
authors.forename: Koji
authors.initials: K
authors.lastname: Kagisaki
authors.forename: Toshikatsu
authors.initials: T
authors.lastname: Yagihara
authors.forename: Ikuo
authors.initials: I
authors.lastname: Hagino
authors.forename: Toru
authors.initials: T
authors.lastname: Ishizaka
authors.forename: Junjiro
authors.initials: J
authors.lastname: Kobayashi
authors.forename: Soichiro
authors.initials: S
authors.lastname: Kitamura
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000601:surgery; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D018570:Risk Assessment; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*