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Masahiro Yamaguchi
Takuro Tsukube
Hidetaka Ohashi
Yoshihiro Oshima
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Ann Thorac Surg 1991;52:310-312
© 1991 The Society of Thoracic Surgeons


Articles

Pulmonary origin of left anterior descending coronary artery in tetralogy of Fallot

Masahiro Yamaguchi, MD*, Takuro Tsukube, MD, Yuhei Hosokawa, MD, Hidetaka Ohashi, MD, Yoshihiro Oshima, MD

Department of Cardiothoracic Surgery, Kobe Children's Hospital, Kobe, Japan

Accepted for publication January 15, 1991.

* Address reprint requests to Dr Yamaguchi, Department of Cardiothoracic Surgery, Kobe Children's Hospital, Takakura-dai 1-1-1, Suma-ku, Kobe 654, Japan.

We report the case of a 4-year-old girl with an anomalous origin of the left anterior descending coronary artery from the pulmonary artery in association with tetralogy of Fallot. Creation of an intrapulmonary tunnel from a newly created aortopulmonary window to the coronary ostium in the pulmonary trunk and total repair of tetralogy of Fallot were successfully carried out. The advantage of intrapulmonary tunnel technique (Takeuchi method) for this very rare combination is stressed.




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R. Lawrence Moss, C. L. Backer, V. R. Zales, M. S. Florentine, and C. Mavroudis
Tetralogy of fallot with anomalous origin of the right coronary artery
Ann. Thorac. Surg., January 1, 1995; 59(1): 229 - 231.
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