title: Surgical angioplasty and unroofing technique for intramural coronary anomaly.
abstract: A malign intramural course of the left main coronary artery is a rare anatomical anomaly. Surgical repair is mandatory since the condition is associated with myocardial ischemic syndromes and sudden death. Unroofing the intramural part and reconstructing a neo-ostium is challenging if the neo-ostium is immediately adjacent to the intercoronary commissure as there is a risk of narrowing the newly created ostium. We report a case in which we performed a surgical angioplasty of the left main coronary artery in combination with unroofing of the intramural section and resuspension of the intercoronary commissure.
authors.affiliation: Department of Cardiac Surgery, Hospital ZOL Genk, Schiepse Bos 6, 3600 Genk, Belgium.
authors.forename: Gerry
authors.initials: G
authors.lastname: Van der Mieren
authors.forename: Christiaan
authors.initials: C
authors.lastname: Van Kerrebroeck
authors.forename: Herbert
authors.initials: H
authors.lastname: Gutermann
authors.forename: Robert
authors.initials: R
authors.lastname: Dion
mesh_terms: D000328:Adult; D017130:Angioplasty / Q000379:methods*; D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000209:etiology; D010496:Pericardium / Q000637:transplantation*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome