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Ann Thorac Surg 2001;72:1768-1769
© 2001 The Society of Thoracic Surgeons

How to do it

Extended unroofing procedure for creation of a new ostium for anomalous left coronary artery

Hiroyuki Nakajima, MD*a, Toshikatsu Yagihara, MDa, Hideki Uemura, MDa, Youichi Kawahira, MDa, Yoshiro Yoshikawa, MDa

a Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan

Accepted for publication June 11, 2001.

* Address reprint requests to Dr Nakajima, Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan
e-mail: hnakajim{at}hsp.ncvc.go.jp

A modified procedure to create an alternative ostium for the left coronary artery was successfully carried out in a patient having anomalous origin of the left coronary artery from the right coronary sinus of the aorta. The proximal portion of the artery had an intramural course. The newly constructed orifice was widely patent and functioning well 44 months later, without episodes of myocardial ischemia or aortic regurgitation.




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