Reconstruction of anomalous left coronary artery from pulmonary artery in an adult patient: a case report

Journal of Cardiothoracic Surgery
Kazuki MoriShinji Miyamoto

Abstract

Anomalous left coronary artery from the pulmonary artery is a congenital heart disease in which myocardial ischemia occurs within 1 year of birth. Adults have been reported to survive owing to the development of collateral perfusion from right coronary artery. In these cases, however, revascularization is necessary to prevent sudden cardiac death. A 62-year-old female gradually started experiencing dyspnea during exercise. Coronary computed tomography revealed that the left coronary artery arose from the main pulmonary artery. The patient was subsequently diagnosed with adult-type, anomalous left coronary artery from the pulmonary artery. She underwent a surgery, in which a 6-mm vascular prosthesis was passed through the main pulmonary artery to anastomose the left coronary artery and ascending aorta. Our reconstructive technique using vascular prosthesis is effective for anomalous left coronary artery from pulmonary artery in adults.

References

Sep 28, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M M AmanullahA Hasan
Aug 17, 2005·Heart·Michael Hauser
Jul 22, 2008·The Annals of Thoracic Surgery·Yusuke AndoMasaki Kajimoto
Oct 2, 2013·The Journal of Thoracic and Cardiovascular Surgery·Bijoy G RajbanshiJoseph A Dearani

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Citations

Jul 11, 2020·World Journal for Pediatric & Congenital Heart Surgery·Ed PengJohn G Dreisbach

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Methods Mentioned

BETA
coronary artery bypass

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