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Ann Thorac Surg 2003;75:1642-1643
© 2003 The Society of Thoracic Surgeons

Case report

Surgical treatment of the left circumflex coronary artery from the pulmonary artery in an adult patient

Roberto Bolognesi, MDa*, Ottavio Alfieri, MDa, Dimitri Tsialtas, MDa, Carlo Manca, MDa

a Cattedra di Cardiologia, Dipartimento di Medicina Interna e Scienze Biomediche, Università degli Studi di Parma, Parma, and Cardiochirurgia Ospedale San Raffaele, Milan, Italy

Accepted for publication October 27, 2002.

* Address reprint requests to Dr Bolognesi, Cattedra di Cardiologia, Dipartimento di Medicina Interna e Scienze Biomediche, Via Gramsci 14, 43100 Parma, Italy
e-mail: climed{at}ipruniv.cce.unipr.it

We report an exceptional case of ischemic heart disease due to the origin of the left coronary circumflex artery from the pulmonary artery in a 50-year-old woman. She had undergone surgery for aortic coarctation when she was 16 years old. This abnormality was associated with other congenital defects such as tunnel subaortic stenosis, small aortic valve annulus, numerous left ventricular false tendons, and aortic bicuspid valve. Cardiac surgery verified the origin of the left circumflex from the pulmonary artery. The left internal mammary artery was positioned on the obtuse marginal coronary branch. Her clinical state was moderately improved 3 months after surgery.




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Repair of anomalous right and circumflex coronary arteries arising from the pulmonary artery
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