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The Annals of Thoracic Surgery, Vol 57, 458-460, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Aortic intramural course of the left coronary artery in dextro- transposition of the great arteries

EK Sim, JA van Son, PR Julsrud and FJ Puga
Division of Thoracic and Cardiovascular Surgery, Mayo Clinic, Rochester, MN 55905.

Three patients with dextro-transposition of the great arteries and an aortic intramural left coronary artery are described. A review of our patients with dextro-transposition of the great arteries and those reported in the literature suggests that an aortic intramural course of the left coronary artery or left anterior descending coronary artery must be assumed when the artery arises from the right (posterior) sinus of Valsalva, distal to the right sinotubular junction, or at the commissure between the right and left (anterior) sinuses and courses between the great arteries.

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