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Ann Thorac Surg 1998;65:248
© 1998 The Society of Thoracic Surgeons

Case Reports

Should We Address the Course as Well as the Origin of a Translocated Anomalous Coronary Artery?

Michael D. Black, MD, Brian W. McCrindle, MD, Robert M. Freedom, MD

Division of Cardiovascular Surgery, The Hospital for Sick Children and The University of Toronto, Toronto, Ontario, Canada
Division of Cardiology, The Hospital for Sick Children and The University of Toronto, Toronto, Ontario, Canada

Accepted for publication August 29, 1997.

Dr Black, Division of Cardiovascular Surgery, The Hospital for Sick Children, 555 University Ave, Toronto, ON, Canada M5G 1X8 (e-mail: michael.black@mailhub.sickkids.on.ca).

The identification of an anomalous left coronary artery arising from the pulmonary artery demands urgent surgical attention. Myocardial infarction and ongoing myocardial ischemia are a direct consequence with subsequent left ventricular dysfunction. A modification using a combination of autogenous aortic and pulmonary artery flaps is described, which addresses both the origin and the course of the anomalous coronary artery—until now, a feature not generally considered necessary of repairs involving anomalous left coronary artery arising from the left facing pulmonary sinus.




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Creation of a dual-coronary system for anomalous origin of the left coronary artery from the pulmonary artery utilizing the trapdoor flap technique
Eur. J. Cardiothorac. Surg., May 1, 2003; 23(5): 851 - 852.
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V. Shukla, R. M. Freedom, and M. D. Black
Single coronary artery and complete transposition of the great arteries: a technical challenge resolved?
Ann. Thorac. Surg., February 1, 2000; 69(2): 568 - 571.
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