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Eur J Cardiothorac Surg 2001;20:853-855
© 2001 Elsevier Science NL


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Anomalous left coronary artery from the pulmonary artery: creating an autogenous arterial conduit for aortic implantation

M.M. Amanullah, J.R.L. Hamilton, A. Hasan

The Freeman Hospital, Regional Cardiothoracic Centre, Newcastle upon Tyne NE7 7DN, UK

Received 9 February 2001; received in revised form 23 April 2001; accepted 26 June 2001.

Corresponding author. Tel.: +44-191-2843111
e-mail: m_amanullah{at}hotmail.com

Anomalous origin of the left coronary artery from the pulmonary artery requires surgical correction. A surgical technique is presented. Two infants underwent re-implantation of their anomalous left coronary arteries by creating a tunnel using autogenous aortic and pulmonary arterial walls. The advantage of this technique is that the new left coronary artery lies in the horizontal plane and in an anatomically correct axis running in the groove behind the pulmonary artery. It also provides a tension free endothelialized autogenous arterial walls with normal growth anticipated.

Key Words: Anomalous left coronary artery • Aortic implantation • Autogenous arterial conduit




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Copyright © 2001 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.