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Right arrow Congenital - acyanotic

Ann Thorac Surg 2004;78:1082-1084
© 2004 The Society of Thoracic Surgeons

Case report

Anomalous origin of the left coronary artery from the pulmonary artery in an adult with systemic collateral circulation to the left coronary artery

Alfredo J. Rodrigues, MD, PhDa,*, Walter V. A. Vicente, MD, PhDa, Solange Bassetto, MDa, Adilson Scorzoni Filho, MDa

a Division of Cardiothoracic Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil

Accepted for publication June 23, 2003.

* Address reprint requests to Dr Rodrigues, Divisão de Cirurgia Torácica e Cardiovascular, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da USP, Campus Universitário, Monte Alegre, Ribeirão Preto, SP, Brazil
alfredo{at}cardiol.br

A case of anomalous origin of the left coronary artery from the pulmonary artery in an adult with collateral circulation between the left coronary artery and systemic extracardiac vessels is reported. After evaluating the surgical options, my colleagues and I conclude that ligation of the left coronary artery and a left internal thoracic artery graft to the left anterior descending coronary artery is the preferable option for treating such patients.




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