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Ann Thorac Surg 2008;86:667-668. doi:10.1016/j.athoracsur.2008.02.005
© 2008 The Society of Thoracic Surgeons
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Hideaki Kado
Munetaka Masuda
Masaki Kajimoto
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How To Do It

"Spiral-Cuff" Technique for Repair of Anomalous Left Coronary Artery From the Pulmonary Artery

Yusuke Ando, MDa, Hideaki Kado, MDa,*, Munetaka Masuda, MDb, Toshihide Nakano, MDa, Kazuhiro Hinokiyama, MDa, Akira Shiose, MDa, Masaki Kajimoto, MDa

a Department of Cardiovascular Surgery, Fukuoka Children's Hospital, Fukuoka, Japan
b Department of Surgery, Yokohama City University Hospital, Yokohama, Japan

Accepted for publication February 4, 2008.

* Address correspondence to Dr Kado, Department of Cardiovascular Surgery, Fukuoka Children's Hospital, 2-5-1 Tojin-machi, Chuo-ku, Fukuoka, 810-0063, Japan (Email: kado.h{at}fukuoka-child.jp).

We describe a new technique for coronary transfer in the repair of anomalous origin of the left coronary artery from the pulmonary artery. The left coronary artery is elongated with the native pulmonary artery wall to form a spiral-shaped coronary cuff to construct an unstretched new left coronary artery system from the ascending aorta. A postoperative angiographic scan showed good flow of the left coronary artery without any kinking or narrowing. This technique is considered useful when an anomalous coronary artery arises a long way from the ascending aorta.




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W. M. Novick, X. F. Li, D. Anic, A. Baskevitch, N. Sandoval, C. L. Gilbert, and T. G. Di Sessa
Anomalous left coronary artery from the pulmonary artery: intermediate results of coronary elongation
Interactive CardioVascular and Thoracic Surgery, November 1, 2009; 9(5): 814 - 818.
[Abstract] [Full Text] [PDF]


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