Anomalous left coronary artery from nonfacing pulmonary sinus: direct aortic reimplantation

Ann Thorac Surg. 2014 May;97(5):1819-21. doi: 10.1016/j.athoracsur.2013.09.104.

Abstract

We report a new technique of establishing a direct coronary transfer for anomalous left coronary artery arising from the nonfacing sinus of the pulmonary artery. This easily reproducible technique was successfully used in 2 patients. It achieves a dual coronary repair without the use of complex aortic or pulmonary arterial flaps and without causing any distortion to the great vessels.

MeSH terms

  • Anastomosis, Surgical / methods*
  • Aorta / surgery*
  • Cardiopulmonary Bypass / methods
  • Coronary Vessel Anomalies / diagnostic imaging
  • Coronary Vessel Anomalies / surgery*
  • Echocardiography, Doppler, Color / methods
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Male
  • Preoperative Care / methods
  • Pulmonary Artery / abnormalities*
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Artery / surgery
  • Replantation
  • Retrospective Studies
  • Risk Assessment
  • Sternotomy / methods
  • Surgical Flaps
  • Treatment Outcome
  • Vascular Surgical Procedures / methods