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Eur J Cardiothorac Surg 2002;21:105-107
© 2002 Elsevier Science NL

Case report

Anomalous origin of the left coronary artery from the pulmonary artery A case using the autologous pulmonary arterial wall graft

Department of Cardiothoracic Surgery, Kobe Children's Hospital, 1-1-1, Takakura-dai, Suma-ku, Kobe, 654-0081 Japan

Received 25 June 2001; received in revised form 11 October 2001; accepted 11 October 2001.

* Corresponding author. Tel.: +81-78-732-6961; fax: +81-78-735-0910
e-mail: newriver{at}dream.com

A 10-year-old girl with anomalous origin of the left coronary artery from the pulmonary artery underwent a two coronary system reconstruction with a new technique. Her left coronary artery was stenotic next to its origin and had a severe adhesion with the aorta. We made a bypass grafting between the aorta and the left coronary artery with a roll shaped transected main pulmonary arterial wall graft. The postoperative angiogram showed a good patency of a reconstructed left coronary artery. This technique is considered useful surgical option for bypass grafting to the left coronary artery when the left coronary artery has an obstructive lesion or a difficulty to dissect and mobilize.

Key Words: Left coronary artery from the pulmonary artery • Aorta • Angiogram