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Amit Korach
Praveen Menon
Richard J. Shemin
Oz M. Shapira
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Ann Thorac Surg 2006;82:2285-2287
© 2006 The Society of Thoracic Surgeons

Case Reports

Anomalous Left Main Coronary Artery From the Main Pulmonary Artery in an Elderly Patient

Amit Korach, MDa, Praveen Menon, MDa, Mandeep Dhadly, MDb, Khether E. Raby, MDb, Richard J. Shemin, MDa, Oz M. Shapira, MDa,*

a Department of Cardiothoracic Surgery, Boston Medical Center, Boston, Massachusetts
b Evans Department of Medicine, Section of Cardiology, Boston Medical Center, Boston, Massachusetts

Accepted for publication April 14, 2006.

* Address correspondence to Dr Shapira, Department of Cardiothoracic Surgery, Suite B-402, Boston Medical Center, 88 E. Newton St, Boston, MA 02118. (Email: oz.shapira{at}bmc.org).

Presented at the Breakfast Session of the Forty-second Annual Meeting of The Society of Thoracic Surgeons, Chicago, IL, Jan 30–Feb 1, 2006.

Anomalous origin of the left main coronary from the pulmonary trunk in an elderly patient is extremely rare. We report a 73-year-old woman who presented with new onset of angina and atrial fibrillation. Evaluation revealed anomalous origin of the left main coronary artery from the main pulmonary artery and tight proximal left anterior descending coronary artery stenosis. The patient underwent primary closure of the anomalous left main coronary artery orifice within the pulmonary artery, aorta-to-left anterior descending coronary artery saphenous vein bypass grafting and Maze procedure. Six months postoperatively the patient was asymptomatic and a Thallium stress test was negative for ischemia.






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