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Ann Thorac Surg 2009;87:1948-1949. doi:10.1016/j.athoracsur.2008.10.052
© 2009 The Society of Thoracic Surgeons

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Basar Sareyyupoglu
Harold M. Burkhart
Joseph A. Dearani
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Case Reports

Intramural Left Main Coronary Artery Unexpectedly Encountered During Aortic Root Replacement

Basar Sareyyupoglu, MDa, Harold M. Burkhart, MDa,*, Joseph A. Dearani, MDa, Heidi M. Connolly, MDb

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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