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a Department of Cardiothoracic Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota
b Division of Cardiovascular Diseases, Mayo Clinic and Mayo Foundation, Rochester, Minnesota
Accepted for publication October 14, 2008.
* Address correspondence to Dr Burkhart, Mayo Clinic, Department of Cardiothoracic Surgery, Joseph 5-200, 200 First Street SW, Rochester, MN 55905 (Email: burkhart.harold{at}mayo.edu).
We present an intramural left main coronary artery, unexpectedly encountered during aortic root replacement in a truncus arteriosus patient. Given the severely limited orifice, we opted to unroof the intramural portion of the left main coronary artery prior to implantation as a button. Until now there have been no reports in the literature describing unroofing an intramural coronary artery prior to reimplantation in an aortic root replacement operation.
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