title: Left pulmonary artery originating from the right coronary artery in a patient with pulmonary atresia and ventricular septal defect.
abstract: We describe a patient with pulmonary atresia and ventricular septal defect in whom the left pulmonary artery was originating from the dilated right coronary artery. Successful division of the left pulmonary artery from the right coronary artery and the connection with the right ventricular outflow tract was carried out with closure of the end of the origin. The preoperative accurate diagnosis of this anomaly with ascending aortography is the most important in the surgical management of patients with pulmonary atresia and ventricular septal defect.
authors.affiliation: Department of Cardiovascular Surgery, German Heart Center Munich at the Technical University, Munich, Germany. Electronic address: ono@dhm.mhn.de.
authors.forename: Masamichi
authors.initials: M
authors.lastname: Ono
authors.affiliation: Department of Cardiovascular Surgery, German Heart Center Munich at the Technical University, Munich, Germany.
authors.forename: Wei
authors.initials: W
authors.lastname: Dong
authors.affiliation: Department of Cardiovascular Surgery, German Heart Center Munich at the Technical University, Munich, Germany.
authors.forename: Jelena
authors.initials: J
authors.lastname: Kasnar-Samprec
authors.affiliation: Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich at the Technical University, Munich, Germany.
authors.forename: Manfred Otto
authors.initials: MO
authors.lastname: Vogt
authors.affiliation: Department of Cardiovascular Surgery, German Heart Center Munich at the Technical University, Munich, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Schreiber
mesh_terms: D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D002648:Child; D003097:Collateral Circulation; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D015150:Echocardiography, Doppler; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D018633:Pulmonary Atresia / Q000000981:diagnostic imaging / Q000601:surgery*; D018570:Risk Assessment; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods