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Case Reports

Surgical Repair of Anomalous Origin of the Left Coronary Artery Arising From the Left Pulmonary Artery

^a Division of Cardiothoracic, Transplantation, and Vascular Surgery, Hannover Medical School, Hannover, Germany
^b Department of Pediatric Cardiology and Intensive Care Medicine, Hannover Medical School, Hannover, Germany

Accepted for publication November 26, 2008.

^_* Address correspondence to Dr Ono, Division of Cardiothoracic, Transplantation, and Vascular Surgery, Hannover Medical School, Carl-Neuberg-Strasse 1, Hannover, 30625, Germany (Email: ono.masamichi{at}mh-hannover.de).

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly. We report an extremely uncommon variety of ALCAPA, in which the left coronary artery arose from the left pulmonary artery in a patient who presented with severe heart failure in early infancy. After direct reimplantation of the left coronary artery into the ascending aorta, the patient's cardiac function recovered successfully.