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Eur J Cardiothorac Surg 2005;27:927-929
© 2005 Elsevier Science NL

Case report

Reconstruction of left main coronary artery with subclavian artery free graft in an infant

Rafael R. Guerreroa, James L. Wilkinsonb, Christian P. Brizarda,*

a Department of Cardiac Surgery, Royal Children's Hospital, Flemington Road, Parkville, Melbourne, Vic. 3052, Australia
b Department of Cardiology, Royal Children's Hospital, Flemington Road, Parkville, Melbourne, Vic. 3052, Australia

Received 1 December 2004; received in revised form 8 February 2005; accepted 11 February 2005.

* Corresponding author. Tel.: +61 3 9345 5200; fax: +61 3 9345 6386. (E-mail: christian.brizard{at}rch.org.au).

We report the case of a 3-month-old infant with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) with absent left main coronary artery (LMCA). She underwent repair by reimplantation technique with the construction of a short LMCA using two opposite flaps. Two months later she was re-admitted in cardiac failure. Occlusion of the reconstructed LMCA was found by angiogram. At reoperation the right subclavian artery was used as a free interposition graft to reconstruct the LMCA. The post-operative course was uneventful. At 8 months she was asymptomatic and LMCA patency was demonstrated by angiogram.

Key Words: Congenital • Coronary






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Copyright © 2005 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.