title: Aberrant left coronary artery, modified unroofing technique, and patch angioplasty.
abstract: BACKGROUND
  We present a case of surgical correction of an aberrant left coronary artery arising from the right sinus of Valsalva.
  
  
  METHODS
  In order to prevent stenosis and kinking of the neo-ostium, modified unroofing technique was combined with patch angioplasty.
  
  
  RESULTS
  The clinical outcome was excellent with complete preservation of ventricular function, resolution of angina, and absence of aortic regurgitation.
  
  
  CONCLUSIONS
  Addition of patch angioplasty to the unroofing technique improves outcome.
authors.affiliation: Department of Cardiothoracic Surgery, St. Georges Hospital, London, United Kingdom.
authors.forename: Morteza Tavakkoli
authors.initials: MT
authors.lastname: Hosseini
authors.forename: Antonios
authors.initials: A
authors.lastname: Kourliouros
authors.forename: Mazin
authors.initials: M
authors.lastname: Sarsam
mesh_terms: D000328:Adult; D000787:Angina Pectoris / Q000175:diagnosis / Q000209:etiology; D017130:Angioplasty / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000601:surgery* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D018570:Risk Assessment; D012850:Sinus of Valsalva / Q000002:abnormalities*; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology; D014656:Vascular Surgical Procedures / Q000379:methods*