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Ann Thorac Surg 2007;84:2132-2133. doi:10.1016/j.athoracsur.2007.04.001
© 2007 The Society of Thoracic Surgeons

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How To Do It

An Alternative Procedure for Correction of Anomalous Origin of Left Coronary Artery From the Pulmonary Artery

Qingyu Wu, MD*, Zhonghua Xu, MD

Cardiac Center, First Hospital of Tsinghua University, School of Medicine, Tsinghua University, Beijing, China

Accepted for publication April 2, 2007.

* Address correspondence to Dr Wu, Cardiac Center, First Hospital of Tsinghua University, School of Medicine, Tsinghua University, No. 6 Jiu Xian Qiao 1st Rd, Beijing, 100016, China (Email: wuqingyu{at}mail.tsinghua.edu.cn).

Anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital cardiac malformation that is commonly associated with mitral insufficiency. Direct implantation of the anomalous origin of the left coronary artery from the pulmonary artery into the aorta is ideal, but it may not be fit for some patients whose anomalous left coronary arteries arise remotely from the ascending aorta. To solve the same technical problem in a boy with anomalous origin of the left coronary artery from the pulmonary artery in combination with moderate mitral insufficiency, we successfully elongated the anomalous coronary artery by creating a tube-shape graft using part of the pulmonary arterial wall. Simultaneous mitral annuloplasty was performed after a dual-coronary repair.




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Ann. Thorac. Surg.Home page
T. Sarioglu, E. Salihoglu, E. Erek, and Y. K. Yalcinbas
Pericardial Tube for Translocation in Anomalous Origin of Coronary Arteries
Ann. Thorac. Surg., November 1, 2008; 86(5): 1722 - 1722.
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Ann. Thorac. Surg.Home page
Q. Wu
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Ann. Thorac. Surg., November 1, 2008; 86(5): 1722 - 1722.
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