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Ann Thorac Surg 1991;52:310-312
© 1991 The Society of Thoracic Surgeons
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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