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Right arrow Congenital - acyanotic

Ann Thorac Surg 2004;78:2183-2185
© 2004 The Society of Thoracic Surgeons

Case report

Direct Aortic Interposition of Anomalous Left Anterior Descending Coronary Artery Without Cardiopulmonary Bypass

Niyazi Cebi, MDa,*, Johannes Frömke, MDa, Gerd Walterbusch, MDa

a Department of Thoracic and Cardiovascular Surgery, St-Johannes-Hospital, Dortmund, Germany

Accepted for publication July 21, 2003.

* Address reprint requests to Dr Cebi, Schondellestrasse 19B, 44229 Dortmund, Germany
niyazi{at}destur.de

An anomalous origin of the left anterior descending (LAD) coronary artery arising from the pulmonary artery is a congenital malformation rarely described in adults. We describe the case of a 42-year-old man with this malformation who underwent an interposition of the LAD coronary artery to the ascending aorta with an off-pump technique. The clinical presentation, angiographic findings, and surgical treatment are discussed.






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