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Vinayak Shukla
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Right arrow Congenital - cyanotic

Ann Thorac Surg 2007;83:1175-1177
© 2007 The Society of Thoracic Surgeons

Case Reports

Anomalous Left Anterior Descending Coronary Artery From Pulmonary Artery With Ventricular Septal Defect

Thomas Stephen, MCh, Korah T. Kuruvila, MCh, Madhu Andrew Philip, MCh, Vinayak Shukla, MCh, DNB, Roy John Korula, MCh, FACS*

Department of Cardiothoracic Surgery, Unit II, Christian Medical College, Vellore, India

Accepted for publication September 12, 2006.

* Address correspondence to Prof Korula, Department of Cardiothoracic Surgery Unit II, Christian Medical College, Vellore 632 004, India (Email: roykorula{at}hotmail.com).

Anomalous origin of the left anterior descending coronary artery with associated congenital defects is very rare. An angiogram of a 47-year-old woman admitted for a ventricular septal defect closure revealed an anomalous left anterior descending coronary artery arising from the left posterior sinus of the pulmonary artery. During the surgical procedure, the origin of the left anterior descending coronary artery was closed with pledgetted polypropylene sutures through the pulmonary artery. The ventricular septal defect was closed with a patch through the right atrium, and the left anterior descending coronary artery was bypassed with the left internal mammary artery.






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