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Right arrow Coronary disease

Ann Thorac Surg 2006;81:1512-1514
© 2006 The Society of Thoracic Surgeons

Case report

Bland-White-Garland Syndrome in Pregnancy: Reoperation of ALCAPA With an Internal Thoracic Radial Artery "Y"-Graft

Cliff K. Choong, FRACS, Carlo Martinez, MD, Hendrick B. Barner, MD * , Phillip A. Ludbrook, MD

Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Missouri

Accepted for publication April 18, 2005.

* Address correspondence to Dr Barner, 6125 Clayton Ave, Suite 430, St. Louis, MO 63139 (Email: hendrick.barner{at}tenethealth.com).

Anomalous origin of the left coronary artery from the pulmonary artery is rare and more so in the adult. Reimplantation of the left main coronary into the aorta is successful in early life, but it may be more difficult in the adult who had a previous repair. We report a successful reoperation of anomalous origin of the left coronary artery from the pulmonary artery in an adult patient using a left internal thoracic and radial artery "Y"-graft. Composite arterial grafting has become an established and straight forward technique in coronary surgery, and it is appropriate and recommended for congenital lesions in adults and at any age if necessary.






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Copyright © 2006 by The Society of Thoracic Surgeons.