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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
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Anomalous origin of the left main coronary artery. Surgical management

Julien Desgué1, Fabio Cuttone, Gerard Babatasi

  • 1Department of Cardiac Surgery, Caen University Hospital, Caen, France. jdesgue@yahoo.fr

Asian Cardiovascular & Thoracic Annals
|February 23, 2013
PubMed

Insights

A rare coronary artery anomaly, a common ostium for the right and left main coronary arteries, was identified in a patient with acute coronary syndrome. Successful single bypass grafting to the left anterior descending artery ensured the patient remained asymptomatic.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Congenital Heart Disease

Background:

  • Acute coronary syndrome necessitates prompt diagnosis and intervention.
  • Congenital coronary artery anomalies can present atypically.
  • Anatomical variations in coronary ostia require careful consideration during angiography.

Observation:

  • A 53-year-old male presented with acute coronary syndrome.
  • Coronary angiography revealed a single ostium supplying both the right coronary artery and the left main coronary artery.
  • No prior medical history was reported.

Findings:

  • The patient had a rare coronary artery anomaly: a common coronary ostium.
  • A single left internal mammary artery bypass graft was successfully used for revascularization of the left anterior descending artery.
  • The anatomical variation did not preclude successful surgical intervention.

Implications:

  • This case highlights the importance of recognizing uncommon coronary artery origins.
  • Successful surgical management is feasible even with complex coronary anomalies.
  • Optimal graft selection and surgical technique are crucial for favorable outcomes in patients with coronary artery anomalies.

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