Repair of anomalous origin of the left coronary artery arising from right pulmonary artery with rolled-conduit-extended reimplantation in an adult.
The left coronary artery arising from the pulmonary artery (ALCAPA) is a rare congenital anomaly. It causes high mortality if untreated in childhood. Only 10% to 15% of patients reach adulthood. We report a successful repair of ALCAPA in an adult with a rolled-conduit-extended-reimplantation technique. The procedure is easily applicable and has technical advantages for creating a longer and wider conduit and may decrease bleeding.
Konya Büyükşehir Hospital, Department of Cardiovascular Surgery, Konya, Turkey.
Melih
M
Erdinc
Kemalettin
K
Hosgor
Oguz
O
Karahan
D000328:Adult; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010496:Pericardium / Q000637:transplantation*; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000637:transplantation; D012092:Replantation / Q000379:methods*; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous; D014656:Vascular Surgical Procedures / Q000379:methods*